Article ; Online: Macrothrombocytopenia associated with a rare GFI1B missense variant confounding the presentation of immune thrombocytopenia.
2019 Volume 66, Issue 9, Page(s) e27874
Abstract: Growth factor-independent 1B (GFI1B) variants are a rare cause of thrombocytopenia. We report on a male child who was initially diagnosed with immune thrombocytopenia. However, subtle clinical signs led to suspicion of a genetic cause of thrombocytopenia. ...
Abstract | Growth factor-independent 1B (GFI1B) variants are a rare cause of thrombocytopenia. We report on a male child who was initially diagnosed with immune thrombocytopenia. However, subtle clinical signs led to suspicion of a genetic cause of thrombocytopenia. Gene panel sequencing revealed a rare variant in GFI1B (C168F), which has recently been reported in several families with thrombocytopenia. We demonstrate that this variant significantly alters platelet parameters in population studies. This case highlights how diagnoses of exclusion, such as immune thrombocytopenia, can be confounded by genetic variation. Our understanding of blood disorders will undoubtedly evolve from an increased knowledge of human genetic variation. |
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MeSH term(s) | Blood Platelets/metabolism ; Child, Preschool ; Genetic Diseases, Inborn/blood ; Genetic Diseases, Inborn/diagnosis ; Genetic Diseases, Inborn/genetics ; Humans ; Male ; Mutation, Missense ; Proto-Oncogene Proteins/genetics ; Purpura, Thrombocytopenic, Idiopathic/blood ; Purpura, Thrombocytopenic, Idiopathic/diagnosis ; Purpura, Thrombocytopenic, Idiopathic/genetics ; Repressor Proteins/genetics |
Chemical Substances | GFI1B protein, human ; Proto-Oncogene Proteins ; Repressor Proteins |
Language | English |
Publishing date | 2019-06-17 |
Publishing country | United States |
Document type | Case Reports ; Journal Article ; Research Support, N.I.H., Extramural ; Research Support, Non-U.S. Gov't |
ZDB-ID | 2131448-2 |
ISSN | 1545-5017 ; 1545-5009 |
ISSN (online) | 1545-5017 |
ISSN | 1545-5009 |
DOI | 10.1002/pbc.27874 |
Database | MEDical Literature Analysis and Retrieval System OnLINE |
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