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논문 기본 정보

자료유형
학술저널
저자정보
Yujin Nam (Department of Pediatrics Kosin University Gospel Hospital Kosin University College of Medicine Busa) Gyu Min Yeon (Department of Pediatrics Kosin University Gospel Hospital Kosin University College of Medicine Busa) Seom Gim Kong (Department of Pediatrics Kosin University Gospel Hospital Kosin University College of Medicine Busa)
저널정보
대한소아혈액종양학회 Clinical Pediatric Hematology-Oncology Clinical Pediatric Hematology-Oncology Vol.28 No.2
발행연도
2021.10
수록면
89 - 92 (4page)
DOI
10.15264/cpho.2021.28.2.89

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One of the pathophysiologic mechanism of inherited thrombocytopenia is a defect in transcription factors that regulate the expression of multiple genes required for mega-karyopoiesis. Runt-related transcription factor 1 (RUNX1) binds to its heterodimeric partner, core binding factor beta (CBFβ), and forms a core binding factor that regu-lates the expression of various target genes. The association between RUNX1 germ-line mutations and familial platelet disorder with associated myeloid malignancy was first reported in 1999. Although this disease has various phenotypes and penetration, the most common symptom is a bleeding tendency due to thrombocytopenia and pla-telet dysfunction. Myelodysplastic syndromes or acute myeloid leukemia may also de-velop in 35-40% of cases. We identified a heterozygous mutation in the RUNX1 gene using diagnostic exome sequencing in an adolescent with chronic thrombocytopenia. The patient will be followed continuously for hematologic malignancies that may de-velop in the future. This case illustrates the importance of diagnosing inherited thrombocytopenia to provide adequate follow-up for hematologic malignancies and reduce unnecessary treatment.

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