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Læknablaðið - 01.10.1965, Side 60

Læknablaðið - 01.10.1965, Side 60
28 LÆKNABLAÐIÐ ætt með arfgenga elliptocy- tosis,1 sem athugaðir hafa verið með tilliti til þessara eiginleika, voru 6 A, 18 BA, 17 B, 1 CA, 6 CB, þ.e.a.s. rúmlega 72% af BA og B phenotvp (óbirtar at- huganir). Umrædd fjölskylda hefur hinar algengu gerðir þessara eiginleika. Arfgengum gerðum af „phos- pliogluconate dehydrogenase“ (í 2. töflu 6—PGD) og „phos- phoglucomutase“ (í 2. töflu PGM) eru tvö af mörgum kleyfiefnum rauðu blóðkorn- anna og tengd sykurefnaskipt- um þeirra. Hvort arfgeng elliplocytosis hefur fundizt í Alsír, er mér ókunnugt um. Þakkarorð. Ég þalcka Magnúsi Þorsteins- syni lækni, sem uppliaflega sendi sveinbarnið í rannsókn til mín. Dr. med. Eggerti Jó- hannssyni vfirlækni þakka ég gagnrýni og aðsloð við mynda- töku og frá Höllu Snæbjörns- dóttur í Blóðbankanum fvrir aðstoð við blóðflokkun. Sérstaklega þakka ég Profes- sor H. Harris og E. B. Bobson Pli.D. við M.R.C. Human Bio- chemical Genetics Besearch Unit og Department of Bioche- mistry, Kings College, London W.C. 2, og enn fremur Dr. T. E. Cleghorn, Director of North London Blood Transfusion Centre, Edgware, Middlesex. SUMMARY. Algerian-Icelandic Famil-y with Hereditary Elliptocytosis. The paper contains summarized clinical histories, hæmatological observations, biochemical and serological genetic data on the family described. The propositus, 3 months old boy, has a moderate hæmolytic anæmia. His father, an Algerian, has elliptocytosis, but no anæmia and no signs of hæmolysis. His Icelandic wife has morphological- ly normal red corpuscles, but his- tory of anæmia without a known cause and mild anæmia at the time of the investigation. Their daughter is hæmatologically nor- mal. The test for sickling (wet wax-sealed preparation) was nega- tive in all members of the family. The genetic data collected are not suggestive of linkage between the elliptocytic main locus and the Rh system. Other bloodgroup and biochemical systems used as mar- ker loci are considered uninforma- tive from linkage point of view. The main points discussed are: 1) Age and onset of the ellipto- cytic change. 2) The hypothesis of two different ,,normal“ alleles (el,, eh) of the unaffected parent and possible consequences. 3) Short explanatory comments are made on the various inherited bio- chemical systems investigated in the family. The author has no knowledge of the occurrence of hereditary el- liptocytosis in Algeria. HEIMILD ARRIT: 1. Ólafur Jensson og Ólafur Ólafs- son (1964): Elliptocytosis here-
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