Pancytopenia-developmental delay syndrome

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ORPHA:401764OMIM:615715D61.0
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Overview

Pancytopenia-developmental delay syndrome is an extremely rare genetic condition that affects both the blood system and brain development. The name describes its two main features: pancytopenia, which means low levels of all three types of blood cells (red blood cells, white blood cells, and platelets), and developmental delay, which means children reach milestones like sitting, walking, and talking later than expected. Because all blood cell types are reduced, affected individuals may experience anemia (causing tiredness and pale skin), increased risk of infections (due to low white blood cells), and easy bruising or bleeding (due to low platelets). The developmental delays can range from mild to more significant and may include intellectual disability. Some children may also have physical features or other organ involvement depending on the specific genetic cause. This syndrome is classified under constitutional aplastic anemias (ICD-10 code D61.0), meaning the bone marrow does not produce enough blood cells from early in life. Treatment is mainly supportive, focusing on managing low blood counts through transfusions, infection prevention, and developmental therapies. In some cases, bone marrow transplantation may be considered. Because this condition is so rare, management is highly individualized and typically coordinated by a team of specialists.

Also known as:

Key symptoms:

Low red blood cell count causing tiredness and pale skinLow white blood cell count leading to frequent infectionsLow platelet count causing easy bruising and bleedingDelayed milestones such as sitting, walking, or talkingIntellectual disabilityPoor growth or short statureFatigue and low energyRecurrent fevers from infectionsUnusual bleeding such as nosebleeds or bleeding gumsLearning difficulties

Inheritance

Autosomal recessive

Passed on when both parents carry the same gene change; often skips generations

Age of Onset

Infantile

Begins in infancy, roughly 1 month to 2 years old

Orphanet ↗OMIM ↗NORD ↗

Treatments

No FDA-approved treatments are currently listed for Pancytopenia-developmental delay syndrome.

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No actively recruiting trials found for Pancytopenia-developmental delay syndrome at this time.

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No specialists are currently listed for Pancytopenia-developmental delay syndrome.

View NORD Rare Disease Centers ↗Undiagnosed Disease Network ↗

Treatment Centers

8 centers
🏥 NORD

Baylor College of Medicine Rare Disease Center

Baylor College of Medicine

📍 Houston, TX

🏥 NORD

Stanford Medicine Rare Disease Center

Stanford Medicine

📍 Stanford, CA

🔬 UDN

NIH Clinical Center Undiagnosed Diseases Program

National Institutes of Health

📍 Bethesda, MD

🔬 UDN

UCLA UDN Clinical Site

UCLA Health

📍 Los Angeles, CA

🔬 UDN

Baylor College of Medicine UDN Clinical Site

Baylor College of Medicine

📍 Houston, TX

🔬 UDN

Harvard/MGH UDN Clinical Site

Massachusetts General Hospital

📍 Boston, MA

🏥 NORD

Mayo Clinic Center for Individualized Medicine

Mayo Clinic

📍 Rochester, MN

👤 Mayo Clinic Center for Individualized Medicine

🏥 NORD

UCLA Rare Disease Day Program

UCLA Health

📍 Los Angeles, CA

Travel Grants

No travel grants are currently matched to Pancytopenia-developmental delay syndrome.

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Community

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Caregiver Resources

NORD Caregiver Resources

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Mental Health Support

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Family & Caregiver Grants

Financial assistance programs specifically for caregivers of rare disease patients.

Social Security Disability

Learn how rare disease patients may qualify for SSDI/SSI benefits.

Questions for your doctor

Bring these to your next appointment

  • Q1.How severe is my child's pancytopenia, and how often will blood counts need to be checked?,Is bone marrow transplantation an option for my child, and what are the risks and benefits?,What genetic testing has been done, and are there any specific genes identified?,What signs of infection or bleeding should prompt an emergency room visit?,What developmental therapies should my child be receiving, and how often?,Are there any clinical trials or research studies my child might be eligible for?,What is the expected long-term outlook for my child's blood counts and development?

Common questions about Pancytopenia-developmental delay syndrome

What is Pancytopenia-developmental delay syndrome?

Pancytopenia-developmental delay syndrome is an extremely rare genetic condition that affects both the blood system and brain development. The name describes its two main features: pancytopenia, which means low levels of all three types of blood cells (red blood cells, white blood cells, and platelets), and developmental delay, which means children reach milestones like sitting, walking, and talking later than expected. Because all blood cell types are reduced, affected individuals may experience anemia (causing tiredness and pale skin), increased risk of infections (due to low white blood ce

How is Pancytopenia-developmental delay syndrome inherited?

Pancytopenia-developmental delay syndrome follows a autosomal recessive inheritance pattern. Genetic counseling can help families understand recurrence risk and testing options.

At what age does Pancytopenia-developmental delay syndrome typically begin?

Typical onset of Pancytopenia-developmental delay syndrome is infantile. Age of onset can vary across affected individuals.