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trisomy-21 associated transient abnormal myelopoiesis

Tuesday 9 November 2010

Approximately 10% of DS newborns present with a hematological disorder known as TAM.

Genetic alterations (presence of GATA1 mutations) and morphological and laboratory findings may be the same as typical trisomy 21-associated AML.

In 70-80% of cases, TAM resolves spontaneously over a period of several weeks to 3 months, whilst in the remaining cases a non-transient acute myeloid leukemia, usually of megakaryoblastic type, develops 1 to 3 years later.

Indications for chemotherapy in TAM are not clearly defined.