Table 1

Characteristic features of different types of CDA

CDA typeIIIIII FamilialIII SporadicVariants
Inheritance Autosomal recessive Autosomal recessive Dominant Variable Autosomal dominant or X linked or recessive 
Cases reported >300 >450 2 families <20 ∼70 
BM morphology (light microscopy) Abnormal chromatin structure, chromatin bridges Binuclearity, multinuclearity of mature erythroblasts Giant multinucleated erythroblasts Giant multinucleated erythroblasts CDA I–like, CDA II–like, others 
BM EM findings “Spongy” heterochromatin, invagination of cytoplasm into the nucleus Peripheral cysternae beneath the plasma membrane Clefts in heterochromatin, autophagic vacuoles, intranuclear cisternae Various Various 
Mutated gene CDAN1, C15ORF41 SEC23B KIF23 Unknown KLF1, GATA-1, unknown 
Associated dysmorphology/organ involvement Skeleton Variable, rare Monoclonal gammopathy, myeloma, angioid streaks Variable CNS, others 
CDA typeIIIIII FamilialIII SporadicVariants
Inheritance Autosomal recessive Autosomal recessive Dominant Variable Autosomal dominant or X linked or recessive 
Cases reported >300 >450 2 families <20 ∼70 
BM morphology (light microscopy) Abnormal chromatin structure, chromatin bridges Binuclearity, multinuclearity of mature erythroblasts Giant multinucleated erythroblasts Giant multinucleated erythroblasts CDA I–like, CDA II–like, others 
BM EM findings “Spongy” heterochromatin, invagination of cytoplasm into the nucleus Peripheral cysternae beneath the plasma membrane Clefts in heterochromatin, autophagic vacuoles, intranuclear cisternae Various Various 
Mutated gene CDAN1, C15ORF41 SEC23B KIF23 Unknown KLF1, GATA-1, unknown 
Associated dysmorphology/organ involvement Skeleton Variable, rare Monoclonal gammopathy, myeloma, angioid streaks Variable CNS, others 

CNS, central nervous system; EM, electron microscopy.

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