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==Overview==
==Overview==
X-linked sideroblastic anemia was first described by Cooley (1945), a Detroit pediatrician-hematologist. He considered  possible X-linkage in a family in which 19 males in 5 generations were affected, with transmission through unaffected females. In 1946 Rundles and Falls reported 2 families. Slightly enlarged spleens and minor red cell abnormalities without anemia were observed in female carriers. Pyridoxine responsiveness was observed in at least 2 affected members of Rundles and Falls' family In 1961 Byrd and Cooper named the disorder as hereditary iron-loading anemia. In 1983 Peto et al concentrated on iron overload in mild sideroblastic anemia after the death from cardiac siderosis of a middle-aged woman with a very mild form of familial sideroblastic anemia. Cotter et al. (1995) described a previously healthy 81-year-old woman with microcytic sideroblastic anemia. The diagnosis of the X-linked congenital sideroblastic anemia resulted in successful treatment with pyridoxine.  She was diagnosed to be heterozygous for a point mutation of the ALAS2 gene. Aivado (2006) reported a family in which a mother and her 2 daughters had  sideroblastic anemia that was unresponsive to pyridoxine. It was confirmed by genetic analysis. The disorder was variable in severity and X-chromosome inactivation studies were done. In 1971 Hines found decreased levels of pyridoxal phosphokinase in red cells and livers of patients with pyridoxine-dependent refractory sideroblastic anemia. In 1973A Oki found deficiency of delta-aminolevulinic acid synthetase in the red cells of patients with sideroblastic anemia. In 2001 Levi discovered that  iron accumulates in the mitochondria of red cell precursors.
[[X-linked]] sideroblastic anemia was first described by Cooley (1945), a Detroit [[pediatrician]]-[[hematologist]]. He considered  possible [[X-linked|X-linkage]] in a family in which 19 [[males]] in 5 generations were affected, with transmission through unaffected [[females]]. In 1946 Rundles and Falls reported 2 families. Slightly enlarged [[Spleen|spleens]] and minor [[red cell]] abnormalities without [[anemia]] were observed in [[female]] [[Carrier|carriers]]. [[Pyridoxine]] responsiveness was observed in at least 2 affected members of Rundles and Falls' family In 1961 Byrd and Cooper named the disorder as [[hereditary]] [[iron]]-loading [[anemia]]. In 1983 Peto et al concentrated on [[iron overload]] in mild sideroblastic anemia after the death from cardiac siderosis of a middle-aged woman with a very mild form of [[familial]] sideroblastic anemia. Cotter et al. (1995) described a previously healthy 81-year-old woman with [[microcytic]] sideroblastic anemia. The diagnosis of the [[X-linked]] [[congenital]] sideroblastic anemia resulted in successful treatment with [[pyridoxine]].  She was diagnosed to be [[heterozygous]] for a [[point mutation]] of the [[ALAS2]] [[gene]]. Aivado (2006) reported a family in which a mother and her 2 daughters had  sideroblastic anemia that was unresponsive to [[pyridoxine]]. It was confirmed by [[genetic]] analysis. The disorder was [[variable]] in severity and [[X-chromosome]] inactivation studies were done. In 1971 Hines found decreased levels of [[pyridoxal]] phosphokinase in [[red cells]] and [[Liver|livers]] of patients with [[pyridoxine]]-dependent refractory sideroblastic anemia. In 1973A Oki found deficiency of [[delta-aminolevulinic acid]] [[synthetase]] in the [[red cells]] of patients with sideroblastic anemia. In 2001 Levi discovered that  [[iron]] accumulates in the [[Mitochondrion|mitochondria]] of [[red cell]] precursors.


==Historical Perspective==
==Historical Perspective==

Revision as of 16:52, 7 September 2018

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nazia Fuad M.D.

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Overview

X-linked sideroblastic anemia was first described by Cooley (1945), a Detroit pediatrician-hematologist. He considered possible X-linkage in a family in which 19 males in 5 generations were affected, with transmission through unaffected females. In 1946 Rundles and Falls reported 2 families. Slightly enlarged spleens and minor red cell abnormalities without anemia were observed in female carriers. Pyridoxine responsiveness was observed in at least 2 affected members of Rundles and Falls' family In 1961 Byrd and Cooper named the disorder as hereditary iron-loading anemia. In 1983 Peto et al concentrated on iron overload in mild sideroblastic anemia after the death from cardiac siderosis of a middle-aged woman with a very mild form of familial sideroblastic anemia. Cotter et al. (1995) described a previously healthy 81-year-old woman with microcytic sideroblastic anemia. The diagnosis of the X-linked congenital sideroblastic anemia resulted in successful treatment with pyridoxine. She was diagnosed to be heterozygous for a point mutation of the ALAS2 gene. Aivado (2006) reported a family in which a mother and her 2 daughters had sideroblastic anemia that was unresponsive to pyridoxine. It was confirmed by genetic analysis. The disorder was variable in severity and X-chromosome inactivation studies were done. In 1971 Hines found decreased levels of pyridoxal phosphokinase in red cells and livers of patients with pyridoxine-dependent refractory sideroblastic anemia. In 1973A Oki found deficiency of delta-aminolevulinic acid synthetase in the red cells of patients with sideroblastic anemia. In 2001 Levi discovered that iron accumulates in the mitochondria of red cell precursors.

Historical Perspective

  • X-linked sideroblastic anemia was first described by Cooley (1945), a Detroit pediatrician-hematologist.
  • He considered possible X-linkage in a family in which 19 males in 5 generations were affected, with transmission through unaffected females.
  • In 1946 Rundles and Falls reported 2 families.
  • Slightly enlarged spleens and minor red cell abnormalities without anemia were observed in female carriers.
  • Pyridoxine responsiveness was observed in at least 2 affected members of Rundles and Falls' family
  • In 1961 Byrd and Cooper named the disorder as hereditary iron-loading anemia
  • In 1983 Peto et al concentrated on iron overload in mild sideroblastic anemia after the death from cardiac siderosis of a middle-aged woman with a very mild form of familial sideroblastic anemia.
  • Cotter Pd. (1995) described a previously healthy 81-year-old woman with microcytic sideroblastic anemia.
  • The diagnosis of the X-linked congenital sideroblastic anemia resulted in successful treatment with pyridoxine.
  • She was diagnosed to be heterozygous for a point mutation of the ALAS2 gene.
  • Aivado (2006) reported a family in which a mother and her 2 daughters had sideroblastic anemia that was unresponsive to pyridoxine.
  • It was confirmed by genetic analysis.
  • The disorder was variable in severity and X-chromosome inactivation studies were done.
  • In 1971 Hines found decreased levels of pyridoxal phosphokinase in red cells and livers of patients with pyridoxine-dependent refractory sideroblastic anemia.
  • In 1973A oki found deficiency of delta-aminolevulinic acid synthetase in the red cells of patients with sideroblastic anemia.
  • Cotter in 1994 identified mutation in the ALAS2 gene.
  • In 2001 Levi discovered that iron accumulates in the mitochondria.[1]

References

  1. Aivado M, Gattermann N, Rong A, Giagounidis AA, Prall WC, Czibere A, Hildebrandt B, Haas R, Bottomley SS (2006). "X-linked sideroblastic anemia associated with a novel ALAS2 mutation and unfortunate skewed X-chromosome inactivation patterns". Blood Cells Mol. Dis. 37 (1): 40–5. doi:10.1016/j.bcmd.2006.04.003. PMID 16735131.

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