TUESDAY, April 20, 2021 — The chance for leukemia is larger amongst youngsters with Down syndrome, based on a examine revealed on-line March 5 in The Journal of Pediatrics.
Emily C. Marlow, Ph.D., from the College of California, Davis, and colleagues used knowledge from 3,905,399 youngsters born between 1996 and 2016 in seven U.S. well being care methods or Ontario, Canada, and adopted them from start to most cancers analysis, loss of life, age 15 years, disenrollment, or by means of 2016.
The researchers discovered that leukemia was identified in 124 of 4,401 youngsters with Down syndrome and 1,941 of three,900,998 youngsters with out Down syndrome. The cumulative incidence of acute myeloid leukemia (AML) was 1,405 per 100,000 at age Four years and unchanged at age 14 years amongst youngsters with Down syndrome, whereas the cumulative incidence of acute lymphoid leukemia in youngsters with Down syndrome was 1,059 per 100,000 at age Four years and 1,714 per 100,000 at age 14 years. There was a higher danger for AML earlier than age 5 years amongst youngsters with Down syndrome in contrast with different youngsters (hazard ratio [HR], 399). The chance was even larger for megakaryoblastic leukemia earlier than age 5 years (HR, 1500). No matter age, youngsters with Down syndrome had a higher danger for acute lymphoid leukemia than different youngsters (<5 years: HR, 28; ≥5 years HR, 21).
“Given the potential for ionizing radiation to extend leukemia danger in youngsters with Down syndrome, different nonionizing radiation modes of imaging, corresponding to ultrasound and magnetic resonance imaging, must be used because the first-line picture exams,” a coauthor stated in an announcement.
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Posted: April 2021