Hemolytic anemia due to red cell pyruvate kinase deficiency

General Information (adopted from Orphanet):

Synonyms, Signs: PYRUVATE KINASE DEFICIENCY OF ERYTHROCYTE
PK DEFICIENCY
Pyruvate kinase deficiency of erythrocytes
Number of Symptoms 17
OrphanetNr: 766
OMIM Id: 266200
ICD-10: D55.2
UMLs:
MeSH:
MedDRA:
Snomed:

Prevalence, inheritance and age of onset:

Prevalence: No data available.
Inheritance: Autosomal recessive
[Orphanet]
Age of onset: Neonatal
Infancy
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Hemolytic anemia due to a disorder of glycolytic enzymes
 -Rare genetic disease
 -Rare hematologic disease
Pyruvate metabolism disorder
 -Rare genetic disease

Symptom Information: Sort by abundance 

1
(HPO:0001560) Abnormality of the amniotic fluid 7 / 7739
2
(HPO:0001790) Nonimmune hydrops fetalis Rare [HPO] 15 / 7739
3
(HPO:0000952) Jaundice 105 / 7739
4
(HPO:0001744) Splenomegaly 337 / 7739
5
(HPO:0001081) Cholelithiasis 36 / 7739
6
(HPO:0001082) Cholecystitis 9 / 7739
7
(HPO:0001511) Intrauterine growth retardation Rare [HPO] 358 / 7739
8
(HPO:0001903) Anemia 289 / 7739
9
(HPO:0001923) Reticulocytosis 28 / 7739
10
(HPO:0004870) Chronic hemolytic anemia 6 / 7739
11
(HPO:0005502) Increased red cell osmotic fragility 5 / 7739
12
(HPO:0008282) Unconjugated hyperbilirubinemia 9 / 7739
13
(OMIM) Severity of anemia can range from mild to life-threatening 1 / 7739
14
(HPO:0000007) Autosomal recessive inheritance 2538 / 7739
15
(OMIM) Decreased red cell pyruvate kinase activity 1 / 7739
16
(OMIM) Increased unconjugated bilirubin 1 / 7739
17
(OMIM) Anemia may be exacerbated during infection or pregnancy 1 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Description: (OMIM) Red cell pyruvate kinase deficiency is the most common cause of hereditary nonspherocytic hemolytic anemia. PK deficiency is also the most frequent enzyme abnormality of the glycolytic pathway (Zanella et al., 2005).
Diagnosis OMIM - Prenatal Diagnosis

Baronciani and Beutler (1994) reported successful prenatal diagnosis of PK deficiency using 2 different techniques. In the first case, they used PCR amplification and restriction endonuclease analysis and identified a mutation in fetus ...

Clinical Description OMIM Valentine et al. (1961) first reported pyruvate kinase deficiency in 3 patients with congenital nonspherocytic hemolytic anemia. Tanaka et al. (1962) observed a compensated hemolytic anemia in young adults who had been relatively little incapacitated. At that time, ...
Molecular genetics OMIM In 2 Japanese patients, born of consanguineous parents, with hereditary hemolytic anemia due to pyruvate kinase deficiency, Kanno et al. (1991) identified a homozygous mutation in the PKLR gene (609712.0004). Larochelle et al. (1991) identified a mutation in ...
Population genetics OMIM In a scheme to detect mutational events, Satoh et al. (1983) screened for activity in erythrocytes of 11 enzymes chosen because of relatively small coefficients of variation for mean activity. The object was to determine the frequency of ...