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Stomatocytic Disorders and Variants

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Encyclopedia of Molecular Mechanisms of Disease

Definition and Characteristics

Uniconcave erythrocytes giving the appearance of a “stoma” in the center of the cell on the peripheral blood smear, either congenital or acquired, mostly with decreased surface to volume ratio due to increased cell volume (overhydration), producing varying degrees of hemolysis as well as vasoocclusive manifestations. Some variant stomatocytic disorders are characterized by cell dehydration [1,2].

Prevalence

Acquired forms are rare with data limited to case reports.

Genes

Hereditary stomatocytosis (HS) with overhydration refers to an autosomal dominant hemolytic anemia associated with absence of band 7.2 which has been, a protein of unknown function on the cytoplasmatic red cell membrane [1]. Band 7.2 absence alone does not account for stonratocytosis with overhydration and its molecular basis is not elucidated [13]. Variants (such as hereditary xerocytosis [HX] and pseudohyperkalemia) associated with cell dehydration are linked to 16q23–q24 [3].

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References

  1. An X, Mohandas N (2008). Disorders of the red cell membrane. Br J Haematol 141:367–375

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  2. Smith BD, Segel GB (1997). Abnormal erythrocyte endothelial adherence in hereditary stomatocytosis. Blood 89:3451–3456

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  3. Delaunay J (2002). Molecular basis of red cell membrane disorders. Acta Haematol 108:210–218

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  4. Stewart GW, Amess JA, Eber SW, Kingswood C, Lane PA, Smith BD, Mentzer WC (1996) Thrombo–embolic disease after splenectomy for hereditary stomatocytosis. Br J Haemotol 93:303–310

    CAS  Google Scholar 

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© 2009 Springer-Verlag GmbH Berlin Heidelberg

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Schnog, JJ.B., Gerdes, V.E.A. (2009). Stomatocytic Disorders and Variants. In: Lang, F. (eds) Encyclopedia of Molecular Mechanisms of Disease. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-29676-8_1677

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