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Glossary

 

Hemophilia

A group of hereditary bleeding disorders characterized by a deficiency of one of the factors necessary for coagulation of the blood. The two most common forms of the disorder are hemophilia A and hemophilia B. Hemophilia A (classic hemophilia) is the result of a deficiency or absence of antiheomphilic factor VII. Hemophilia B (Christmas Disease) represents a deficiency of plasma thromboplastin component. The clinical severity of the disorder varies with the extent of the deficiency.

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Anemias

A decrease in hemoglobin in the blood to levels below the normal range. Anemia may be caused by a decrease in red cell production, an increase in red cell destruction, or a loss of blood. A morphologic classification system describes anemia by the hemoglobin content of the red cells (normochromic or hypochromic) and by differences in red cell size (marocytic, normocytic, or microcytic). Also spelled anaemia.

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Thalassemia Major (Cooley's Anemia)

The homozygous form of this anemia is evident in infancy, is recognized by sever anemia, failure to thrive with hematosplenomegaly, and is confirmed by characteristically small red blood cells and genetic mutations in hemoglobin synthesis. Frequent transfusions are necessary to maintain oxygen-carrying capacity of the blood, which results in progressive iron accumulation since the body is unable to excrete excess iron. Red cells are rapidly destroyed. The iron is also deposited in the heart, liver, and pancreas, which become fibrotic and dysfunctional. The spleen and liver may become enlarged. Headaches, abdominal pain, and fatigue often occur. Select few are cured by Bone Marrow Transplantation.

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Sickle Cell Anemia

A severe chronic hemoglobinopathy condition that occurs in people homozygous for hemoglobin S. The abnormal hemoglobin results in distortion and fragility of the erythrocytes. Sickle cell anemia is characterized by crises of joint pain, thrombosis, fever, chronic anemia, splenomegaly, lethargy, and weakness.

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Immunodeficiency

Any group of health conditions caused by a defect in the immune system and generally characterized by susceptibility to infections and chronic diseases. The diseases are sometimes classified as B cell (antibody) deficiencies, T cell (cellular) deficiencies, combined T and B cell deficiencies of cell movements, and defects of microbicidal activity.

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Thrombocytopenia

A reduction in the number of platelets. There may be decreased production of platelets, decreased survival of platelets, and increased consumption of platelets or splenomegaly. Thrombocytopenia is the most common cause of bleeding disorders. Bleeding is usually from small capillaries. Treatment requires a specific diagnosis of the cause. All drugs are stopped because nearly any drug may cause the condition. Adrenal corticoisteroids and transfusion may be necessary.

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Retinoblastoma

A congenital hereditary neoplasm developing from retinal germ cells. Characteristic signs are diminished vision, strabismus, retinal detachment, and an abnormal pupillary reflex. The rapidly growing tumor may invade the brain and metastasize to distant sites. Treatment may include removal of the eye and as much of the optic nerve as possible, followed by radiation and chemotherapy.

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Lymphoma, Leukemia and Solid Tumors of Children and Adolescents

Please visit these web sites for more information:

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Wilms Tumor

A malignant neoplasm of the kidney occurring in young children before the fifth year in 75% of the cases. The most frequent early signs are hypertesopm, a palpable mass, pain and hematuria. Diagnosis can be established by an excretory program with tomography. The tumor, an embryonal adenomyosacroma, is well encapsulated in the early stage, but it may extend into lymph nodes, the renal vein, or the vena cava and metastasize to the lungs or other sites. Removal of resectable tumors by transperitoneal nephrectomy is recommended. Radiotherapy is used before or after surgery or palliatively in inoperable cases. Chemotherapy combined with surgery and irradiation is proving highly effective.

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DISCLAIMER

This information does not take the place of medical advice, diagnosis, or treatment from your health care provider. The Children's Cancer and Blood Foundation does not suggest that this resource should be your only source of information and education on these topics. Always seek the advice of your physician or other qualified health care provider with any questions you have about a medical condition.

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Supporting the Division of Pediatric Hematology and Oncology, NewYork-Presbyterian Hospital/Weill Cornell Medical Center