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GENATLAS PHENOTYPE
last update : 08-01-2019
Symbol DBAL1
Location 22q11.1
Name Diamond-Blackfan anemia like 1
Other name(s) adenosine deaminase type 2 deficiency
Corresponding gene CECR1
Other symbol(s) DADA2
Main clinical features
  • severe normocytic or microcytic anemia and bone marrow erythroid hypoplasia in infancy without any additional physical abnormalities, also associated with vasculitis
  • early onset vasculopathy with livedoid skin rash associated with systemic manifestations, and neurologic symptoms
  • also lymphoproliferation, cytopenia, and variable degrees of immunodeficiency
  • Genetic determination autosomal recessive
    Related entries also including polyarteritis nodosa vasculopathy with highly varied clinical expression (PMID: 24552285)
    Function/system disorder hematology
    dermatology
    neurology
    Type disease
    Remark(s) . bi-allelic mutations in CECR1 result in deficiency of ADA2 is associated with DBAL1 (PMID: 30503522))
  • in the absence of ADA2, macrophage differentiation is skewed to a pro-inflammatory M1 subset, which is detrimental for endothelial integrity (PMID: 30565235))