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Clinical findings in Diamond-Blackfan anemia

Clinical findings in Diamond-Blackfan anemia
Craniofacial
Hypertelorism
Microcephaly
High-arched palate
Ear malformations
Eyes
Blue sclera
Congenital cataracts
Glaucoma
Microophthalmos
Strabismus
Neck
Fusion of the vertebrae with flaring of the trapezius muscle (Turner-like appearance)
Elevation of the scapula (Sprengel deformity)
Thumb
Bifid thumb
Duplication
Subluxation
Hypoplasia
Absence
Flat hypoplastic thenar eminence
Weak/absent radial pulses
Triphalangeal thumb*
Urogenital
Dysplastic or horseshoe kidney
Duplication of the ureters
Renal tubular acidosis
Cardiac
Atrial and ventricular septal defects
Hypogonadism
Intellectual disability
Other skeletal abnormalities
Other anomalies
* Triphalangeal thumbs are a characteristic of Aase syndrome, which is probably a variant of Diamond-Blackfan anemia.
Data from:
  1. Alter BP, Young NS. The Bone Marrow Failure Syndromes. In: Nathan and Oski's Hematology of Infancy and Childhood, Nathan DG, Orkin SH (Eds), W.B. Saunders Company, 1998, p.237.
  2. Halperin DS, Freedman MH, Am J Pediatr Hematol Oncol 1989; 11:380.
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