Megaloblastic anemia due to dihydrofolate reductase deficiency - CISMeF
Megaloblastic anemia due to dihydrofolate reductase deficiencyOMIM Phenotype
Preferred Label : Megaloblastic anemia due to dihydrofolate reductase deficiency;
Type : Phenotype, molecular basis known;
Alternative titles and symbols : Dhfr deficiency;
Description : Dihydrofolate reductase deficiency is an autosomal recessive metabolic disorder characterized
by the hematologic findings of megaloblastic anemia and variable neurologic symptoms,
ranging from severe developmental delay and generalized seizures in infancy (Banka
et al., 2011) to childhood absence epilepsy with learning difficulties to lack of
symptoms (Cario et al., 2011). Treatment with folinic acid can ameliorate some of
the symptoms.;
Inheritance : Autosomal recessive;
Molecular basis : Caused by mutation in the dihydrofolate reductase gene (DHFR, 126060.0001);
Laboratory abnormalities : Normal serum folate; Decreased CSF tetrahydrofolate and 5-methyltetrahydrofolate; Decreased activity of dihydrofolate reductase;