Transient myeloproliferative syndrome

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Transient myeloproliferative syndrome

ORPHA:420611Disease

Also called Transient myeloproliferative disease · TMD · Transient abnormal myelopoiesis

What it is

A rare hematologic disease characterized by clinical and morphological findings indistinguishable from those of acute myeloid leukemia, typically occurring in newborns with Down syndrome. Peripheral blood and bone marrow blasts display features suggestive of megakaryoblasts. In addition to trisomy 21, acquired GATA1 mutations are present in blast cells. Patients may be asymptomatic or present with thrombocytopenia, less commonly other cytopenias, leukocytosis, hepatosplenomegaly, jaundice, ascites, respiratory distress, bleeding, and pericardial or pleural effusions. Most patients undergo spontaneous remission within the first three months of life, although some may develop life-threatening hepatic, renal, or cardiac complications.

Key facts

Age of onset
Antenatal, Neonatal
Inheritance
Not applicable
Classified as
Disease

Recorded for the broader condition

Prevalence
1-9 / 100 000 (annual incidence, Europe)Myeloproliferative neoplasm

Orphanet records these for the broader condition rather than for this specific form. They are a starting point, not a figure for this subtype — subtypes often differ, and some are defined by being rarer than the condition they sit under.

Gene

GATA1Disease-causing somatic mutation(s)

ICD-10 codes

D47.1filed under a broader ICD-10 category — shared with 3 other rare diseases

ICD-10 has no distinct code for most rare diseases, so many are filed under the nearest available one. A shared code identifies the group, not this disease — the ORPHAcode above is what identifies it.

Related health topics

Reached through the ICD-10 categories this disease is filed under, so these describe the broader group rather than this disease specifically.

Cross-references

GARD 12765MESH C563551MONDO 0008040OMIM 159595UMLS C1834582

Orphadata Science: Free access data from Orphanet. © INSERM 1999. Data version 2026-06-23. Available under CC BY 4.0. This is a reference, not medical advice.

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