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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
3
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pubmed:dateCreated |
1995-1-31
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pubmed:abstractText |
A comparative study of clinical, hematologic, and cytogenetic findings was made in 40 black and 35 white children with Fanconi anemia. The black children were Bantu-speaking Negroid stock of diverse tribal origin. The white children were predominantly Afrikaans stock of Dutch/German/French Huguenot origin. All of the patients had IFAR scores of 2 to 4+ and over 80% in each group had increased spontaneous and/or mutagen-induced chromosomal breakage (CB-positive). There were no significant clinical differences between black and white patients or between CB-pos and CB-neg patients, with the exception of white children in whom significantly more CB-pos patients had thumb and radial anomalies than the CB-neg patients. The age-at-onset of hematologic manifestations was the same for all groups, but more black than white CB-pos patients were severely anemic at the time of diagnosis. Response to androgen and steroid therapy occurred in only 33% of black children compared with 86-90% of white children; 81% of black patients died during the 18 year study period compared with 30% of white children, but the age at death was similar. More sophisticated studies are required to determine whether these differences are genetically determined or related to cultural, educational, and socio-economic differences between the two ethnic groups.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Sep
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pubmed:issn |
0148-7299
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pubmed:author | |
pubmed:issnType |
Print
|
pubmed:day |
1
|
pubmed:volume |
52
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
279-84
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pubmed:dateRevised |
2006-11-15
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pubmed:meshHeading |
pubmed-meshheading:7810559-Adolescent,
pubmed-meshheading:7810559-African Continental Ancestry Group,
pubmed-meshheading:7810559-Androgens,
pubmed-meshheading:7810559-Child,
pubmed-meshheading:7810559-Child, Preschool,
pubmed-meshheading:7810559-Cytogenetics,
pubmed-meshheading:7810559-Ethnic Groups,
pubmed-meshheading:7810559-European Continental Ancestry Group,
pubmed-meshheading:7810559-Fanconi Anemia,
pubmed-meshheading:7810559-Female,
pubmed-meshheading:7810559-Founder Effect,
pubmed-meshheading:7810559-Humans,
pubmed-meshheading:7810559-Infant,
pubmed-meshheading:7810559-Male,
pubmed-meshheading:7810559-Prognosis,
pubmed-meshheading:7810559-South Africa,
pubmed-meshheading:7810559-Steroids
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pubmed:year |
1994
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pubmed:articleTitle |
Comparative study of Fanconi anemia in children of different ethnic origin in South Africa.
|
pubmed:affiliation |
Department of Paediatrics, University of the Witwatersrand, Johannesburg, South Africa.
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pubmed:publicationType |
Journal Article,
Comparative Study,
Research Support, Non-U.S. Gov't
|