A novel missense mutation (1060G → C) in the phosphoglycerate kinase gene in a Japanese boy with chronic haemolytic anaemia, developmental delay and rhabdomyolysis

• Published in: British journal of haematology 2003-09, Vol.122 (6), p.1009-1013
• Main Authors: Morimoto, Akira, Ueda, Ikuyo, Hirashima, Yoshiaki, Sawai, Yasuko, Usuku, Tomohiro, Kano, Gen, Kuriyama, Kikuko, Todo, Shinjiro, Sugimoto, Tohru, Kanno, Hitoshi, Fujii, Hisaichi, Imashuku, Shinsaku
• Format: Article
• Language: English
• Subjects: Anemia, Hemolytic, Congenital - genetics; Anemias. Hemoglobinopathies; Biological and medical sciences; Child, Preschool; developmental delay; Developmental Disabilities - genetics; Diseases of red blood cells; haemolytic anaemia; Hematologic and hematopoietic diseases; Hematology; Humans; Leukemias. Malignant lymphomas. Malignant reticulosis. Myelofibrosis; Male; Medical sciences; Models, Molecular; Mutation, Missense; Phosphoglycerate Kinase - deficiency; Phosphoglycerate Kinase - genetics; rhabdomyolysis; Rhabdomyolysis - genetics
• ISSN: 0007-1048; 1365-2141
• DOI: 10.1046/j.1365-2141.2003.04543.x

We report the case of a 3‐year‐old Japanese boy with phosphoglycerate kinase 1 (PGK1) deficiency (Online Mendelian Inheritance in Man entry 311800). The patient had anaemia and jaundice at birth, necessitating exchange transfusions for 2 d. After one red blood cell transfusion at age 2 months, his Hb level was 8–9 g/dl, his reticulocyte counts were 300–500 × 109/l, and his total bilirubin level was 25·65–42·75 µmol/l. The patient suffered two episodes of respiratory infection‐associated haemolytic crisis and rhabdomyolysis during early infancy. At age 3·0 years, his developmental milestones (developmental quotients measured using the Tsumori–Inage methods) score was 49% (normal 74–131%), and his height was below average by −2·0 standard deviations. The diagnosis of PGK1 deficiency was made based on his remarkably low (