eprintid: 10201279 rev_number: 7 eprint_status: archive userid: 699 dir: disk0/10/20/12/79 datestamp: 2024-12-10 15:47:40 lastmod: 2024-12-10 15:47:40 status_changed: 2024-12-10 15:47:40 type: article metadata_visibility: show sword_depositor: 699 creators_name: Iskander, Deena creators_name: Roy, Noémi BA creators_name: Payne, Elspeth creators_name: Drasar, Emma creators_name: Hennessy, Kelly creators_name: Harrington, Yvonne creators_name: Christodoulidou, Chrysi creators_name: Karadimitris, Anastasios creators_name: Batkin, Leisa creators_name: De la Fuente, Josu title: Diamond-Blackfan anemia in adults: In pursuit of a common approach for a rare disease ispublished: pub divisions: UCL divisions: B02 divisions: C10 divisions: D19 divisions: G98 keywords: Diamond-Blackfan anemia, Adults, Bone marrow failure, Patient engagement, Transition, Iron overload, Genetic screening, Cancer predisposition note: This version is the author accepted manuscript. For information on re-use, please refer to the publisher’s terms and conditions. abstract: Diamond-Blackfan anemia (DBA) is a rare bone marrow failure syndrome, usually caused by loss-of function variants in genes encoding ribosomal proteins. The hallmarks of DBA are anemia, congenital anomalies and cancer predisposition. Although DBA usually presents in childhood, the prevalence in later life is increasing due to an expanding repertoire of implicated genes, improvements in genetic diagnosis and increasing life expectancy. Adult patients uniquely suffer the manifestations of end-organ damage caused by the disease and its treatment, and transition to adulthood poses specific issues in disease management. To standardize and optimize care for this rare disease, in this review we provide updated guidance on the diagnosis and management of DBA, with a specific focus on older adolescents and adults. Recommendations are based upon published literature and our pooled clinical experience from three centres in the United Kingdom (U·K.). Uniquely we have also solicited and incorporated the views of affected families, represented by the independent patient organization, DBA U.K. date: 2023-09 date_type: published publisher: Elsevier official_url: https://doi.org/10.1016/j.blre.2023.101097 full_text_type: other language: eng verified: verified_manual elements_id: 2027980 doi: 10.1016/j.blre.2023.101097 medium: Print-Electronic pii: S0268-960X(23)00058-9 lyricists_name: Payne, Elspeth lyricists_id: EMCPA68 actors_name: Payne, Elspeth actors_id: EMCPA68 actors_role: owner funding_acknowledgements: [NIHR Academic Clinical Lectureship]; [Academy of Medical Sciences]; [British Society of Hematology (DI)]; [DBA U.K Award] full_text_status: restricted publication: Blood Reviews volume: 61 article_number: 101097 pages: 17 event_location: England issn: 0268-960X citation: Iskander, Deena; Roy, Noémi BA; Payne, Elspeth; Drasar, Emma; Hennessy, Kelly; Harrington, Yvonne; Christodoulidou, Chrysi; ... De la Fuente, Josu; + view all <#> Iskander, Deena; Roy, Noémi BA; Payne, Elspeth; Drasar, Emma; Hennessy, Kelly; Harrington, Yvonne; Christodoulidou, Chrysi; Karadimitris, Anastasios; Batkin, Leisa; De la Fuente, Josu; - view fewer <#> (2023) Diamond-Blackfan anemia in adults: In pursuit of a common approach for a rare disease. Blood Reviews , 61 , Article 101097. 10.1016/j.blre.2023.101097 <https://doi.org/10.1016/j.blre.2023.101097>. document_url: https://discovery.ucl.ac.uk/id/eprint/10201279/1/1-s2.0-S0268960X23000589-main.pdf