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Clinical and laboratory findings that can help distinguish Diamond-Blackfan anemia from transient erythroblastopenia of childhood

Clinical and laboratory findings that can help distinguish Diamond-Blackfan anemia from transient erythroblastopenia of childhood
  Diamond-Blackfan anemia Transient erythroblastopenia of childhood
Age Classically presents in infancy Presents at age 1 to 4 years
Preceding viral illness No Yes
Nonhematologic abnormalities Approximately 50% have associated congenital abnormalities (eg, craniofacial abnormalities, thumb anomalies), growth failure, and/or developmental delays Absent
Laboratory findings
Type of anemia Usually macrocytic Usually normocytic*
Reticulocyte count Low Low
Hemoglobin F Increased Normal
eADA activity Elevated Normal
Course Progressive anemia with most patients requiring prolonged transfusion support or steroid therapy Spontaneous recovery within weeks to months
eADA: erythrocyte adenosine deaminase.
* The mean corpuscular volume may be slightly elevated in patients with transient erythroblastopenia of childhood during recovery due to an increased number of reticulocytes.
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