raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:124

Diamond-Blackfan anemia

Synonyms: DBA · Congenital PRCA · Congenital pure red cell aplasia · Diamond-Blackfan anemia syndrome

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Childhood, Infancy, Neonatal
Status
active

Blackfan-Diamond anemia (DBA) is a congenital aregenerative and often macrocytic anemia with erythroblastopenia.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enDiamond-Blackfan anemiaDBA · Congenital PRCA · Congenital pure red cell aplasia · Diamond-Blackfan anemia syndrome
frAnémie de Blackfan-DiamondABD · Anémie aplasique pure congénitale · Anémie de Diamond-Blackfan · Erythroblastopénie congénitale · Maladie de Blackfan-Diamond
deDiamond-Blackfan-AnämieDBA · Diamond-Blackfan-Anämie-Syndrom · Kongenitale PRCA · Kongenitale reine Erythrozytenaplasie
esAnemia de Diamond-BlackfanAPCR congénita · Aplasia pura de células rojas congénita · Síndrome de anemia de Diamond-Blackfan · ADB
itAnemia di Diamond-BlackfanAplasia eritrocitaria pura congenita · PRCA congenita · Sindrome anemia di Diamond-Blackfan · DBA
nlDiamond-Blackfan-anemieCongenitale PRCA · Congenitale rodebloedcelaplasie · Congenitale zuivere erytrocytaire aplasie · Syndroom van Diamond-Blackfan-anemie · DBA
ptAnemia Diamond-BlackfanPRCA congénita · Síndrome de anemia de Diamond-Blackfan · Aplasia congénita pura de células vermelhas
plNiedokrwistość Blackfana i DiamondaWrodzona aplazja czystoczerwonokrwinkowa · Wrodzona niedokrwistość hipoplastyczna typu Blackfana i Diamonda · Wrodzony PRCA · Zespół Aase · Zespół Aase i Smitha II · Anemia Diamonda-Blackfana
csBlackfanova-Diamondova anémieVrozená PRCA · Vrozená hypoplastická anémie Diamondova-Blackfanova · Aaseův syndrom · Aaseho-Smithův syndrom II · Čistá aplázie červené řady · Blackfan-Diamondova anémie · Aase-Smithův syndrom II · Vrozená hypoplastická anémie Diamond-Blackfanova
ukАнемія Даймонда-БлекфанаВроджений PRCA · Вроджена чиста еритроцитарна аплазія · Синдром анемії Даймонда-Блекфана
zhDiamond-Blackfan贫血先天性再生不良性贫血,Blackfan-Diamond型
trBlackfan-Diamond anemisiAase sendromu · Doğumsal PRCA · Aase-Smith II sendromu · Diamond-Blackfan anemisi · Doğumsal saf kırmızı hücre aplazisi · Doğumsal hipoplastik anemi, Blackfan-Diamond tipi

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM105650Evalidated
OMIM300946BTNTvalidated
OMIM606129BTNTvalidated
OMIM606164BTNTvalidated
OMIM610629BTNTvalidated
OMIM612527BTNTvalidated
OMIM612528BTNTvalidated
OMIM612561BTNTvalidated
OMIM612562BTNTvalidated
OMIM612563BTNTvalidated
OMIM613308BTNTvalidated
OMIM613309BTNTvalidated
OMIM614900BTNTvalidated
OMIM615550BTNTvalidated
OMIM615909BTNTvalidated
OMIM617408BTNTvalidated
OMIM617409BTNTvalidated
OMIM618310BTNTvalidated
OMIM618312BTNTvalidated
OMIM618313BTNTvalidated
OMIM620072BTNTvalidated
ICD-10D61.0NTBTinclusionvalidated
ICD-113A60.1NTBTindexvalidated
MONDO0015253Evalidated
MeSHD029503Evalidated
UMLSC0265265Evalidated
GARD6274Evalidated
MedDRA10062989Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (5):

No children.

4

Genes

26 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
RPL27Candidate gene tested inNot yet assessedHGNC:10328ENSG0000013146960752617q21.31ribosomal protein L2725424902[PMID]
RPL31Candidate gene tested inNot yet assessedHGNC:10334ENSG000000710826174152q11.2ribosomal protein L3125042156[PMID]
RPS27Candidate gene tested inNot yet assessedHGNC:10416ENSG000001779546037021q21.3ribosomal protein S2725424902[PMID]
GATA1Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:4170ENSG00000102145305371Xp11.23GATA binding protein 124952648[PMID]_22706301[PMID]
RPL8Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:10368ENSG000001610166041778q24.3ribosomal protein L834961992[PMID]
RPS15ADisease-causing germline mutation(s) (loss of function) inAssessedHGNC:10389ENSG0000013441960367416p12.3ribosomal protein S15a27909223[PMID]
RPS28Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:10418ENSG0000023392760368519p13.2ribosomal protein S2824942156[PMID]
RPS29Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:10419ENSG0000021374160363314q21.3ribosomal protein S2924829207[PMID]
TSR2Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:25455ENSG00000158526300945Xp11.22TSR2 ribosome maturation factor24942156[PMID]
ADA2Disease-causing germline mutation(s) inAssessedHGNC:1839ENSG0000009307260757522q11.1adenosine deaminase 230503522[PMID]
HEATR3Disease-causing germline mutation(s) inAssessedHGNC:26087ENSG0000015539361495116q12.1HEAT repeat containing 335213692[PMID]
RPL11Disease-causing germline mutation(s) inAssessedHGNC:10301ENSG000001426766041751p36.11ribosomal protein L1120301769[PMID]
RPL15Disease-causing germline mutation(s) inAssessedHGNC:10306ENSG000001747486041743p24.2ribosomal protein L1520301769[PMID]_23812780[PMID]
RPL18Disease-causing germline mutation(s) inAssessedHGNC:10310ENSG0000006317760417919q13.33ribosomal protein L1828280134[PMID]
RPL26Disease-causing germline mutation(s) inAssessedHGNC:10327ENSG0000016197060370417p13.1ribosomal protein L2620301769[PMID]_22431104[PMID]
RPL35Disease-causing germline mutation(s) inAssessedHGNC:10344ENSG000001369426183159q33.3ribosomal protein L3528280134[PMID]
RPL35ADisease-causing germline mutation(s) inAssessedHGNC:10345ENSG000001828991804683q29ribosomal protein L35a20301769[PMID]
RPL5Disease-causing germline mutation(s) inAssessedHGNC:10360ENSG000001224066036341p22.1ribosomal protein L520301769[PMID]
RPL9Disease-causing germline mutation(s) inAssessedHGNC:10369ENSG000001636826036864p14ribosomal protein L931799629[PMID]
RPS10Disease-causing germline mutation(s) inAssessedHGNC:10383ENSG000001246146036326p21.31ribosomal protein S1020301769[PMID]
RPS17Disease-causing germline mutation(s) inAssessedHGNC:10397ENSG0000018277418047215q25.2ribosomal protein S1720301769[PMID]
RPS19Disease-causing germline mutation(s) inAssessedHGNC:10402ENSG0000010537260347419q13.2ribosomal protein S1920301769[PMID]
RPS20Disease-causing germline mutation(s) inAssessedHGNC:10405ENSG000000089886036828q12.1ribosomal protein S2032790018[PMID]
RPS24Disease-causing germline mutation(s) inAssessedHGNC:10411ENSG0000013832660241210q22.3ribosomal protein S2420301769[PMID]
RPS26Disease-causing germline mutation(s) inAssessedHGNC:10414ENSG0000019772860370112q13.2ribosomal protein S2620301769[PMID]
RPS7Disease-causing germline mutation(s) inAssessedHGNC:10440ENSG000001718636036582p25.3ribosomal protein S720301769[PMID]
5

Prevalence and incidence

6 records
TypeClassValueAreaQualificationValidationSource
Prevalence at birth1-9 / 1 000 0000.67 / 100 000EuropeValue and classValidated20824457[PMID]_[EXPERT]
Prevalence at birth1-9 / 1 000 0000.5 / 100 000United KingdomValue and classValidated8826887[PMID]
Prevalence at birth1-9 / 1 000 0000.65 / 100 000ItalyValue and classValidated10192448[PMID]
Prevalence at birth1-9 / 1 000 0000.75 / 100 000United StatesValue and classValidated18671700[PMID]
Point prevalenceUnknown—WorldwideClass onlyNot yet validatedORPHANET
Point prevalence1-9 / 1 000 0000.194 / 100 000ChinaValue and classValidated34103049[PMID]

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

59 annotations · validated 2020-03-25
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0030270Elevated red cell adenosine deaminase activity
HP:0012410Pure red cell aplasia
Frequent (79-30%)
HP:0000234Abnormality of the head
HP:0012133Erythroid hypoplasia
HP:0001510Growth delay
HP:0005518Increased mean corpuscular volume
HP:0001254Lethargy
HP:0005532Macrocytic dyserythropoietic anemia
HP:0000980Pallor
HP:0011904Persistence of hemoglobin F
HP:0001896Reticulocytopenia
HP:0001518Small for gestational age
Occasional (29-5%)
HP:0001627Abnormal heart morphology
HP:0000119Abnormality of the genitourinary system
HP:0001227Abnormality of the thenar eminence
HP:0002817Abnormality of the upper limb
HP:0009777Absent thumb
HP:0001631Atrial septal defect
HP:0410030Cleft lip
HP:0000185Cleft soft palate
HP:0000218High palate
HP:0000085Horseshoe kidney
HP:0000047Hypospadias
HP:0001882Leukopenia
HP:0002863Myelodysplasia
HP:0012758Neurodevelopmental delay
HP:0001895Normochromic anemia
HP:0009944Partial duplication of thumb phalanx
HP:0020118Radial artery aplasia
HP:0000104Renal agenesis
HP:0000470Short neck
HP:0004322Short stature
HP:0009778Short thumb
HP:0000912Sprengel anomaly
HP:0001199Triphalangeal thumb
HP:0001629Ventricular septal defect
HP:0000465Webbed neck
Very rare (<4-1%)
HP:0004808Acute myeloid leukemia
HP:0040276Adenocarcinoma of the colon
HP:0001680Coarctation of aorta
HP:0001875Decreased total neutrophil count
HP:0005280Depressed nasal bridge
HP:0000519Developmental cataract
HP:0001087Developmental glaucoma
HP:0000286Epicanthus
HP:0000316Hypertelorism
HP:0000294Low anterior hairline
HP:0000369Low-set ears
HP:0006758Malignant genitourinary tract tumor
HP:0000252Microcephaly
HP:0000347Micrognathia
HP:0008551Microtia
HP:0001790Nonimmune hydrops fetalis
HP:0002669Osteosarcoma
HP:0000508Ptosis
HP:0000486Strabismus
HP:0001873Thrombocytopenia
HP:0001894Thrombocytosis
HP:0000431Wide nasal bridge

Run the differential on the 2 obligate / very frequent terms

Annotation source: 20301769[PMID]_30228860[PMID]

7

Sources for this card