Abstract
Background
Wiskott-Aldrich syndrome is a rare X-linked immunodeficiency disorder with a variable phenotype.
Case Characteristics
3.5-year-old boy diagnosed with Wiskott-Aldrich syndrome.
Observation
Unusual and persistent thrombocytopenia with increased platelet volume (>10fL). He did not exhibit characteristic clinical and laboratory finding for the syndrome.
Outcome
Maternally inherited causative mutation in the exon 2 of the WAS gene was disclosed.
Message
This is a need for multidisciplinary assessment of patients with congenital or early infantile thrombocytopenia, including testing for mutations of the WAS gene in all unexplained cases even in the absence of characteristic microthrombocytopenia.
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References
Bosticardo M, Marangoni F, Aiuti A, Villa A, Grayia Roncarolo M. Recent advances in understanding the pathophysiology of Wiskott-Aldrich syndrome. Blood. 2009;113:6288–95.
Notarangelo LD, Miao CH, Ochs HD. Wiskott-Aldrich syndrome. Curr Opini Hematol. 2008;15:30–36.
Imai K, Morio T, Zhu Y, Jin Y, Itoh S, Kajiwara M, et al. Clinical course of patients with WASP gene mutations. Blood. 2004;103:456–464.
Ochs HD, Filipovich AH, Veys P, Cowan MJ, Kapoor N. Wiskott-Aldrich syndrome: Diagnosis, clinical and laboratory manifestations, and treatment. Biol Blood Marrow Transpl. 2009;15:84–90.
Albert MH, Notarangelo LD, Ochs HD. Clinical spectrum, pathophysiology and treatment of the Wiskott-Aldrich syndrome. Curr Opin Hematol. 2011;18:42–8.
Reddy SS, Binnal A. Wiscott Aldrich syndrome with oral involvement: a case report. J Dent Child (Chic). 2011;78:49–52.
Sullivan KE, Mullen CA, Blaese RM, Winkelstein JA. A multi-institutional survey of the Wiskott-Aldrich syndrome. J Pediatr. 1994;125:876–85.
Ochs HD. Mutations of the Wiskott-Aldrich syndrome protein affect protein expression and dictate the clinical phenotypes. Immunol Res. 2009;44:84–8.
Qasim W, Gilmour KC, Heath S, Ashton E, Cranston T, Thomas A, et al. Protein assays for diagnosis of Wiskott-Aldrich syndrome and X-linked thrombocytopenia. Br J Haematol. 2001;113:861–5.
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Skoric, D., Dimitrijevic, A., Cuturilo, G. et al. Wiskott-Aldrich syndrome with macrothrombocytopenia. Indian Pediatr 51, 1015–1016 (2014). https://doi.org/10.1007/s13312-014-0550-5
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DOI: https://doi.org/10.1007/s13312-014-0550-5