Table 2.

Factors that should trigger high clinical suspicion for FA in adolescent and young adult patients presenting with bone marrow failure or myeloid malignancies

Clinical features
• Positive family history of bone marrow failure
• Long-standing cytopenias
• Characteristic congenital abnormalities including VACTERL-H, café au lait, short stature, microcephaly
• Myeloid malignancy with +1q, +3q, or −7/del7q cytogenetics or FISH
• Excessive toxicity with chemotherapy
• Unusual solid tumor for young adults (oral, head/neck, liver, stomach, genital) 
Clinical features
• Positive family history of bone marrow failure
• Long-standing cytopenias
• Characteristic congenital abnormalities including VACTERL-H, café au lait, short stature, microcephaly
• Myeloid malignancy with +1q, +3q, or −7/del7q cytogenetics or FISH
• Excessive toxicity with chemotherapy
• Unusual solid tumor for young adults (oral, head/neck, liver, stomach, genital) 

FISH, fluorescence in situ hybridization.

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