The Italian Gruppo di Studio delle Piastrine developed an algorithm for classifying patients with an inherited thrombocytopenia. The initial distinction is between patients with a clinical syndrome and those without. The authors are from multiple universities in Italy.
Syndrome |
Clinical Features |
Inheritance |
---|---|---|
Congenital Amegakaryocytic Thrombocytopenia with Radio-Ulnar Synostosis (CTRUS) |
radio-ulnar synostosis, sensorineural hearing loss |
autosomal dominant |
Dyserythropoietic Anemia with Thrombocytopenia |
anemia with variation in red cell size and shape |
X-linked |
Familial Platelet Disorder with Predisposition to AML |
family members with myelodysplasia or AML |
autosomal dominant |
Paris Trousseau type, Jacobsen's syndrome |
cardiac anomalies, facial anomalies, mental retardation |
autosomal dominant |
MYH9 related disorders |
hearing loss, cataracts, renal dysfunction |
autosomal dominant |
thrombocytopenia with absent radii (TAR) |
bilateral absent radii |
autosomal recessive |
Velocardiofacial Syndrome |
cleft palate; cardiac anomalies, facial anomalies, learning disabilities |
autosomal dominant |
Wiskott-Aldrich Syndrome |
severe immunodeficiency |
X-linked |
where:
• MYHD related disorders include May Hegglin anomaly, Sebastian syndrome, Fechtner syndrome, and Epstein syndrome
Syndrome |
Additional Features |
---|---|
Congenital Amegakaryocytic Thrombocytopenia with Radio-Ulnar Synostosis (CTRUS) |
reduced or absent megakaryocytes; occasional aplastic anemia; defect HOXA11 at 7p14-15 |
Dyserythropoietic Anemia with Thrombocytopenia |
large platelets, dysmegakaryopoiesis, reduced expression of GPIb in some platelets, GATA1 at Xp11 |
Familial Platelet Disorder with Predisposition to AML |
defect CBFA2 at 21q22 |
Paris Trousseau type, Jacobsen's syndrome |
giant platelet granules; defect CGS-FL1, ETS1 |
MYH9 related disorders |
giant platelets, neutrophil inclusions, defect in MYH9 at 22q12-13 |
thrombocytopenia with absent radii (TAR) |
reduced megakaryocytes |
Velocardiofacial Syndrome |
defective GPIb, GPIX, GPV; defect CGS-GPb-beta at 22q11 |
Wiskott-Aldrich Syndrome |
small platelets, abnormal WAS protein at Xp11 |
Purpose: To evaluate a patient with an inherited thrombocytopenia that has syndromic features as repoted by the Gruppo di Studio dell Piastrine.
Specialty: Genetics, Hematology Oncology
Objective: clinical diagnosis, including family history for genetics, criteria for diagnosis
ICD-10: D69,