DIAPH1 Mutation as a Novel Cause of Autosomal Dominant Macrothrombocytopenia and Hearing Loss.

Abstract:

:Macrothrombocytopenia (MTP) is a group of rare disorders characterized by giant platelets, thrombocytopenia, and variable association with abnormal bleeding. Inherited MTP are frequently misdiagnosed as immune thrombocytopenia. Associated second-organ manifestation can help narrow down syndromic MTPs. We describe a case of autosomal dominant sensorineural hearing loss and MTP caused by a gain of function mutation in DIAPH1. This mutation causes altered megarkaryopoiesis and platelet cytoskeletal deregulation. Although hearing loss and MTP were likely progressive, clinically significant bleeding was not observed. DIAPH1-related MTP can be distinguished clinically from MYH9 mutation by the absence of cataracts and glomerular disease.

journal_name

Acta Haematol

journal_title

Acta haematologica

authors

Karki NR,Ajebo G,Savage N,Kutlar A

doi

10.1159/000506727

subject

Has Abstract

pub_date

2021-01-01 00:00:00

pages

91-94

issue

1

eissn

0001-5792

issn

1421-9662

pii

000506727

journal_volume

144

pub_type

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