Table 2.
Main Characteristics of the Patient and Diagnostic Findings | |
---|---|
Age (years) | 27 |
Sex | Male |
Congenital abnormalities | None |
Comorbidities | Left brachial plexus injury; Epilepsy |
Family history | Father†; Mother† (leukemia) |
Complete blood count | WBC 3.200/µL Neutrophils 850 × 10^6/µL Lymphocytes 1700 × 10^6/µL Monocytes 500 × 10^6/µL Eosinophils 150 × 10^6/µL Basophils 100 × 10^6/µL Hemoglobin 14.1 g/dL Platelets 196.000/µL Blasts < 2% |
ANA | Negative |
HBV, HCV, HIV | Negative |
Bone marrow aspirate | Trilinear dysplasia, blasts 3% |
Karyotype | 46, XY [20] |
NGS analysis on 52 genes commonly mutated in MDS | No mutation |
DEB and Cell cycle test | Negative |
Telomere length | <33° percentile |
Somatic and germline testing for DC associated mutations | c.835G > A p.Ala279Thr and c.833C > T p.Pro278Leu mutation in heterozygosity in TERT gene |
Hepatic elastometry | Absence of steatosis or fibrosis |
Pulmonary CT scan | No signs of fibrosis |
Abbreviations: ANA, Anti-neutrophils antibodies; CT, computed tomography; HBV, Hepatitis B Virus; HCV, Hepatitis C Virus; HIV, human immunodeficiency virus; NGS, Next Generation Sequencing; WBC, White Blood Cell.