Transient myelofibrosis with autoimmune pancytopenia: a case report.

INTRODUCTION: Myelofibrosis associated with myelodysplasia is thought to herald poor prognosis in myelodysplastic syndrome (MDS). CASE REPORT: A 7-month-old boy presented with fever (39 degrees C), pancytopenia, and slight hepatosplenomegaly (3 and 2 cm, respectively). Bone marrow showed hypercellularity, hyperplasia of erythroblasts, and also myelofibrosis. IgG was 1,136 mg/dL, IgA was 131 mg/dL, and IgM was 89 mg/dL. Antinuclear and antineutrophil antibodies, red-blood-cell-associated IgG, antiplatelet antibodies, and Coombs test were positive. Karyotype was 46XY. No viral cause was evidenced. Mild myelodysplasia was revealed two months later, but was insufficient to support a diagnosis of MDS. The boy was treated with transfusion of packed cells, prednisolone 2 mg/kg/day for 3 weeks associated with intravenous gammaglobulin 400 mg/kg/day for 5 days. Direct Coombs remained positive 1 month after treatment for 5 months, myelofibrosis persisted for 3 months, and neutropenia for 21 months. After 3-year follow-up, hematological data were normal without any therapeutic intervention. CONCLUSION: Myelofibrosis associated with mild myelodysplasia and pancytopenia can have a benign evolution in infants and young children.

Early-life lessons of the courtship dance in a dance-duetting songbird, the Java sparrow.

Vocal learners, such as songbirds, must practise singing in a developmentally sensitive period to master songs. Yet, knowledge remains limited about the development of visual displays in birds, even when courtship includes well-coordinated vocalizations (songs) and body motions. The Java sparrow (Lonchura oryzivora) is a species of songbird that exhibits a courtship duet dancing exchange between the sexes, with this behaviour driving mating success. In this study, juvenile male Java sparrows were observed in captivity, showing that they repeatedly practise the courtship dance in their early life. We called it 'practice', as juvenile birds frequently dance towards family members or other juveniles well before sexual maturation. Based on our observation that dance motor performance increased with age, we propose that the practice is needed for motor learning. In addition, it could also be important for establishing vocal-motional coordination or socialization. Older juveniles gradually became capable of singing and dancing simultaneously, and participated in duet dancing more often. We also found that repeated encounters with the same individual promote dance movement. Though our results do not show how much social experiences account for the development of dance communication, early-life dance practising might influence future reproductive success, like song practising does.

The Tokyo Twin Cohort Project: overview and initial findings.

The Tokyo Twin Cohort Project (ToTCoP) is a large-scale longitudinal study of 5 years based on 1619 pairs of infant twins reared together. The purpose of the study is to construct a population-based twin registry in Japan and to investigate human growth and development and twin themselves. It covers behavioral, neurological, physical and environmental variables measured by questionnaire, home visiting and brain imaging technology. The full registry contains over 47,000 multiple births collected from the Basic Resident Register, and the targeted population is 3070 probable twins of 0 to 2 years old. Preliminary analysis of the entry questionnaire data showed no serious sampling biases. Descriptive statistics of parental characteristics (parental age, gestation age, parity and placentation, maternal weight, parenting stress) and children's characteristics (body size at birth, 4 and 10 months of age, milk consumption, and sleeping and social behavior) and their correlations, genetic and environmental contributions and correlations are reported.