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Archivos de Investigación Materno Infantil

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Órgano de difusión oficial del Instituto Materno Infantil del Estado de México
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2014, Number 2

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Arch Inv Mat Inf 2014; 6 (2)

Neutropenia cíclica: presentación de un caso en un lactante menor

Gómez CDE, Guajardo BTV, Rodríguez BR, Rodríguez BI
Full text How to cite this article

Language: Spanish
References: 6
Page: 64-66
PDF size: 76.06 Kb.


Key words:

Cyclic neutropenia, ELA 2 protein, granulopoiesis.

ABSTRACT

Cyclical neutropenia is an infrequent congenital hereditary disease characterized by periods of neutropenia that can be moderate to severe that resolve spontaneously. The periods may vary between 21 to 28 days and are caused by a disorder in the ELA2 protein, which is a neutrophil elastase, inducing a failure in granulopoiesis. The clinical manifestations of this disease are highly diverse, as it may develop as an asymptomatic patient or as a severe sepsis. We present a clinical case of a three-month- old male patient in whom we found severe neutropenia within the first days of life. Within his three months of life, he has had three different hospitalizations, in which he has presented severe neutropenia, with approximately 21 to 28 days between each hospitalization. We made complementary studies in each hospitalization and found a clinical presentation compatible with cyclic neutropenia.


REFERENCES

  1. Rodríguez QF, Cerna L, Neutropenia cíclica. Reporte de un caso, Honduras Ped, 1998; 19 (3): 78-79.

  2. Iglesias BC, Mata ZD, Ledezma BI, Martínez BJP, Marugán de Miguelsanz JM, Neutropenia cíclica: tratamiento con factor estimulante de colonias de granulocitos recombinante en un caso de novo, An Pediatr, 2009; 70 (4): 403-405.

  3. Pulley BIE, Ortiz LF. Neutropenia crónica en la infancia, VITAE,2007; 31. Disponible en: http://vitae.ucv.ve/pdfs/VITAE_824.pdf

  4. Barrachina BI, Pérez MA, León GS, Pronzato CF, Martín AJM, Toornador E, Neutropenia cíclica con anticuerpo antigranulocitarios NA2 y tratamiento con factor estimulante de colonias granulocíticas recombiante, An Pediatr (Barc), 2005; 63 (2): 175-184.

  5. Razaei N, Farhoudi A, Pourpak Z, Aghamohammadi A, Ramyar A, Moin M et al, Clinical and laboratory findings in iranian children with cyclic neutropenia, Iran J Allergy Asthma Immunol, 2004; 3 (1): 37-40.

  6. Córdova CW, Pérez RJ, Galván CC, Blancas GL, Neutropenia congénita grave, Rev Alerg Méx, 2010; 57 (5): 176-181.




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Arch Inv Mat Inf. 2014;6