Diamond-Blackfan anemia physical examination: Difference between revisions

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==Overview==
==Overview==
Common physical examination findings of DBA include signs of anemia such as pallor, tachycardia, and congenital abnormalities.
Common physical examination findings of [[DBA]] include [[signs]] of [[anemia]] such as [[pallor]], [[tachycardia]], and [[congenital abnormalities]].


==Physical Examination==
==Physical Examination==


===Appearance of the Patient===
===Appearance of the Patient===
*Pallor: primary hematologic feature is characterized by [[anemia]] (low [[red blood cell]] counts),usually develops during the [[neonatal]] period. 
*Patients with DBA usually appear pale and with congenital malformations which is observed in approximately 50% of affected individuals):
 
*'''Congenital malformations'''( observed in approximately 50% of affected individuals):
**'''Head and face''' (50%)
**'''Head and face''' (50%)
***Microcephaly
***[[Microcephaly]]
***hypertelorism
***[[Hypertelorism]]
***Epicanthus
***[[Epicanthus]]
***Ptosis
***[[Ptosis]]
***Microtia
***[[Microtia]]
***low-set ears
***[[low-set ears]]
***Broad, depressed nasal bridge
***Broad, depressed [[nasal bridge]]
***Cleft lip/palate
***[[Cleft lip]]/ [[Cleft palate]]
***High arched palate
***[[High arched palate]]
***Micrognathia
***[[Micrognathia]]
***low anterior hairline
***low anterior hairline
**'''Eye'''  
**'''Eye'''  
***Congenital glaucoma
***[[Congenital]] [[glaucoma]]
***Congenital cataract
***[[Congenital]] [[cataract]]
***strabismus
***strabismus
**'''Neck'''
**'''Neck'''
***Webbing, short neck,
***[[Webbed neck|Webbed]] and short neck  
***Klippel-Feil anomaly
***[[Klippel-Feil anomaly]]
***Sprengel deformity
***[[Sprengel deformity]]
**'''Upper limb and hand including thumb''' (38%)
**'''Upper limb and hand including thumb''' (38%)
***Absent radial artery
***[[Absent]] [[radial artery]]
***Flat thenar eminence
***Flat [[thenar eminence]]
*** Triphalangeal, duplex, bifid, hypoplastic, or absent thumb
*** Triphalangeal, duplex, bifid, hypoplastic, or absent thumb
**'''Genitourinary''' (19%).  
**'''Genitourinary''' (19%).  
***Absent kidney
***Absent kidney
***horseshoe kidney
***[[Horseshoe kidney]]
***hypospadias
***[[Hypospadias]]
**'''Heart''' (15%)
**'''Heart''' (15%)
**Ventricular septal defect
***[[Ventricular septal defect]]
***Atrial septal defect
***[[Atrial septal defect]]
***coarctation of the aorta
***[[Coarctation of the aorta]]
**'''Growth'''
**'''Growth'''
***Low birth weight (in 25% of affected infants)
***[[Low birth weight]] (in 25% of affected infants)
*** Growth retardation9in 30%.Growth retardation can be influenced by other factors including steroid treatment  
*** [[Growth retardation]](in 30%) that can be influenced by other factors including [[Steroid therapy|steroid treatment]]
 
 
Following Initial Diagnosis, patients should be evaluated by:
*a hematologist
*a clinical geneticist for congenital malformations and to obtain a detailed family history
* an ophthalmologist for glaucoma and cataract for individuals on steroid therapy
* an Orthopedic evaluation for individuals with clinical findings suggestive of Klippel-Feil anomaly or Sprengel deformity
*Orthopedic  for individuals with upper-limb and/or thumb anomalies
*Ultrasound examination of the kidney and urinary tract
*a nephrologist and a urologist, as appropriate
*a cardiologist including echocardiography
*Developmental assessment


==References==
==References==

Latest revision as of 01:53, 26 September 2020

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

Overview

Common physical examination findings of DBA include signs of anemia such as pallor, tachycardia, and congenital abnormalities.

Physical Examination

Appearance of the Patient

References