Analysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia

Introduction. Wiskott-Aldrich syndrome is a rare X-linked disorder characterized by microthrombocytopenia, eczema, and recurrent infections. It is caused by mutations of the WAS gene which encodes the WAS protein (WASp) – a key regulator of actin polymerization in hematopoietic cells. Mutations with...

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Autores principales: Doina TURCAN, Lucia ANDRIES, Alexandr DORIF, Victoria SACARA
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Publicado: Asociatia de Biosiguranta si Biosecuritate 2021
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spelling oai:doaj.org-article:7a8d87db532b4782af038dc2d666bd342021-12-02T17:22:54ZAnalysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia10.38045/ohrm.2021.3.102887-34582587-3466https://doaj.org/article/7a8d87db532b4782af038dc2d666bd342021-06-01T00:00:00Zhttps://journal.ohrm.bba.md/index.php/journal-ohrm-bba-md/article/view/141/99https://doaj.org/toc/2887-3458https://doaj.org/toc/2587-3466Introduction. Wiskott-Aldrich syndrome is a rare X-linked disorder characterized by microthrombocytopenia, eczema, and recurrent infections. It is caused by mutations of the WAS gene which encodes the WAS protein (WASp) – a key regulator of actin polymerization in hematopoietic cells. Mutations within the WASp gene result in a wide heterogeneity of clinical disease, ranging from ‘classical WAS’ to mild asymptomatic thrombocytopenia (X-linked thrombocytopenia [XLT]), or congenital neutropenia (X-lined neutropenia [XLN]). Case presentation. This present paper reports a phenotypical and laboratory description of two children diagnosed with WAS and one child diagnosed with XLT. The first case was a six months old male with septicemia, thrombocytopenia, eczema and petechial rash. The second case was a 2 years old boy presenting with complaints of recurrent infections, eczema and thrombocytopenia with small platelet size. The third case was a 16 years old boy who presented with thrombocytopenia and recurrent sinopulmonary infections. Conclusions. Due to a wide spectrum of clinical findings, the diagnosis of WAS/XLT should be considered in any male patient presenting with petechiae, bruises, and congenital or early-onset thrombocytopenia associated with small platelet size.Doina TURCANLucia ANDRIESAlexandr DORIFVictoria SACARAAsociatia de Biosiguranta si Biosecuritatearticlewiskott aldrich syndromex-linked thrombocytopeniaimmunodeficiencyMedicineRScienceQENFRRORUOne Health & Risk Management, Vol 2, Iss 3, Pp 61-66 (2021)
institution DOAJ
collection DOAJ
language EN
FR
RO
RU
topic wiskott aldrich syndrome
x-linked thrombocytopenia
immunodeficiency
Medicine
R
Science
Q
spellingShingle wiskott aldrich syndrome
x-linked thrombocytopenia
immunodeficiency
Medicine
R
Science
Q
Doina TURCAN
Lucia ANDRIES
Alexandr DORIF
Victoria SACARA
Analysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia
description Introduction. Wiskott-Aldrich syndrome is a rare X-linked disorder characterized by microthrombocytopenia, eczema, and recurrent infections. It is caused by mutations of the WAS gene which encodes the WAS protein (WASp) – a key regulator of actin polymerization in hematopoietic cells. Mutations within the WASp gene result in a wide heterogeneity of clinical disease, ranging from ‘classical WAS’ to mild asymptomatic thrombocytopenia (X-linked thrombocytopenia [XLT]), or congenital neutropenia (X-lined neutropenia [XLN]). Case presentation. This present paper reports a phenotypical and laboratory description of two children diagnosed with WAS and one child diagnosed with XLT. The first case was a six months old male with septicemia, thrombocytopenia, eczema and petechial rash. The second case was a 2 years old boy presenting with complaints of recurrent infections, eczema and thrombocytopenia with small platelet size. The third case was a 16 years old boy who presented with thrombocytopenia and recurrent sinopulmonary infections. Conclusions. Due to a wide spectrum of clinical findings, the diagnosis of WAS/XLT should be considered in any male patient presenting with petechiae, bruises, and congenital or early-onset thrombocytopenia associated with small platelet size.
format article
author Doina TURCAN
Lucia ANDRIES
Alexandr DORIF
Victoria SACARA
author_facet Doina TURCAN
Lucia ANDRIES
Alexandr DORIF
Victoria SACARA
author_sort Doina TURCAN
title Analysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia
title_short Analysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia
title_full Analysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia
title_fullStr Analysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia
title_full_unstemmed Analysis of clinical and molecular genetic characteristics of Wiskott-Aldrich syndrome and X-linked thrombocytopenia
title_sort analysis of clinical and molecular genetic characteristics of wiskott-aldrich syndrome and x-linked thrombocytopenia
publisher Asociatia de Biosiguranta si Biosecuritate
publishDate 2021
url https://doaj.org/article/7a8d87db532b4782af038dc2d666bd34
work_keys_str_mv AT doinaturcan analysisofclinicalandmoleculargeneticcharacteristicsofwiskottaldrichsyndromeandxlinkedthrombocytopenia
AT luciaandries analysisofclinicalandmoleculargeneticcharacteristicsofwiskottaldrichsyndromeandxlinkedthrombocytopenia
AT alexandrdorif analysisofclinicalandmoleculargeneticcharacteristicsofwiskottaldrichsyndromeandxlinkedthrombocytopenia
AT victoriasacara analysisofclinicalandmoleculargeneticcharacteristicsofwiskottaldrichsyndromeandxlinkedthrombocytopenia
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