Combined tumor necrosis factor-α (-308 G/A) and tumor necrosis factor-β (+ 252 A/G) nucleotide polymorphisms and chronicity in Egyptian children with immune thrombocytopenia.
Mona El-GhamrawyNesrine El-GharbawiGehan ShahinAlaa AbdelhadyRasha SayedNehal DiaaIrene BishaiPublished in: International journal of hematology (2023)
Homozygosity in either gene might contribute to a worse course of disease, increased severity and poor response to therapy. Patients expressing combined polymorphisms are more prone to progression to chronic disease, severe thrombocytopenia and longer disease duration.