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Article detail · 2017

Seven Patients With Transcobalamin Deficiency Diagnosed Between 2010 and 2014

YÖKSİS OpenAlex SJR Q2 JCR Q4 Citations 23 Percentile 83.6% FWCI 1.64
Year
2017
Type
article

Data source split

  • YÖKSİS YÖKSİS article record
  • YÖKSİS venue Journal of Pediatric Hematology/Oncology
  • Catalog match (ISSN) Journal of Pediatric Hematology/Oncology
  • OpenAlex OpenAlex enrichment (abstract, citations, topics)

Abstract

OpenAlex · English

Transcobalamin deficiency (OMIM 275350) is a rare autosomal recessive disease presenting with nonspecific clinical features in early infancy. We report the clinical and laboratory manifestations of 7 children diagnosed with transcobalamin deficiency. All patients were admitted between 2 and 4 months of age with anemia, thrombocytopenia, and hyperhomocysteinemia. The most common complaints at admission were pallor, weakness, and poor feeding. Genetic analysis was performed in 5 patients and it revealed the same homozygous mutation. We initially treated all patients with intramuscular injections of a maximum of 1 mg cyanocobalamin (CN-Cbl) daily and with a final dose of 1 mg per week. Hemoglobin and platelet counts significantly decreased upon decrease or cessation of CN-Cbl therapy. The patients were reevaluated between 2 and 4 years of age and all had delay in speech and walking. In conclusion, 1 mg of intramuscular CN-Cbl every week suffices for hematological improvement but not for normal neurological development in patients who all had relapse due to decrease or cessation of treatment.

Topics

Citations

OpenAlex cited_by_count. Not a WoS or Scopus citation count; those sources have no separate column here.

23 citations

OpenAlex cited_by_count (cache / database)

Authors

  1. ZUHAL KESKİN SARILAR SAMSUN ÜNİVERSİTESİ
  2. ebba nexo
  3. Tony Rupar
  4. MUSTAFA BÜYÜKAVCI NECMETTİN ERBAKAN ÜNİVERSİTESİ