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- Disease Information
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Disease Processes ▼
- Auto Immune
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Major Organs-Systems ▼
- Systemic
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Disease Information for Kostmann Syndrome
- Demographics & Risk Factors
- Population Group
- Infant
- Population/Pediatrics population
- Sex & Age Groups
- Population/Infant
- Laboratory Tests
- Abnormal Lab Findings - Decreased
- WBC
- Neutrophiles (Lab)
- WBC/White Blood Cell Count/Leukocytes (Lab)
- Diagnostic Test Results
- Pathology
- Bone Marrow/Abnormal
- Associated Diseases & Rule outs
- Associated Disease & Complications
- Acute Myelogenous/Myeloblastic Leukemia AML
- Bacterial infection, general
- Infections
- Myelodysplasia
- Neonatal pneumonia, bacterial
- Pneumonia
- Pneumonia, bacterial
- Sepsis, overwhelming
- Disease Mechanism & Classification
- Class
- CLASS/Hematologic (category)
- Pathophysiology
- Pathophysiology/Gene locus 1p35
- Pathophysiology/Gene locus Chromosome 1
- Pathophysiology/Myelodysplasia process
- Pathophysiology/Gene locus Chromosome 1p
- Pathophysiology/GCSFR gene mutation
- Pathophysiology/Gene locus 1p35-1p34.3
- Process
- PROCESS/Autosomal recessive disorder (ex)
- PROCESS/Congenital/developmental (category)
- PROCESS/Hereditofamilial (category)
- PROCESS/Anomalies/Deformities/Malformations (EX)
- Synonyms
- Synonym
- Synonym/SCN, Synonym/Severe Congenital Neutropenia
- Definition
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Kostmann syndrome also known as Severe Congenital Neutropenia (SCN) is a rare inherited form of Severe Chronic Neutropenia usually detected soon after birth. It was discovered in 1956 by Swedish doctor Kostmann.
An absolute neutrophil count (ANC) chronically less than 500/mm3 is the main sign of Kostmann's. A standard bone marrow test can give correct diagnosis.
Bone marrow usually shows the presence of early granulocytes (promyelocyte/myelocyte arrest) but few maturing forms are seen; neutrophil survival is normal.
Though the underlying genetic defect in myeloid precursor cells is not entirely elucidated, mutations in the gene (ELA2) encoding neutrophil elastase appear to be present in most patients. These mutations may be responsible for the untimely initiation of apoptosis in myelocytes, producing their premature destruction, and interrupting the normal cycle of maturation. There may be, in addition, other underlying molecular/genetic changes producing DNA mutations and genome instability, which contribute to initiation and progression of this disease.
[Wikepedia online 2008]
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- External Links Related to Kostmann Syndrome
- Wikipedia
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- NGC (National Guideline Clearinghouse)
- Medscape (eMedicine)
- Harrison's Online (accessmedicine)
- NEJM (The New England Journal of Medicine)