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KMID : 1130320130560060265
Korean Journal of Pediatrics
2013 Volume.56 No. 6 p.265 ~ p.268
A case of familial X-linked thrombocytopenia with a novel WAS gene mutation
Lee Eu-Kyoung

Eem Yeun-Joo
Chung Nack-Gyun
Kim Myung-Shin
Jeong Dae-Chul
Abstract
Wiskott-Aldrich syndrome (WAS) is an inherited X-linked disorder. The WAS gene is located on the X chromosome and undergoes mutations, which affect various domains of the WAS protein, resulting in recurrent infection, eczema, and thrombocytopenia. However, the clinical features and severity of the disease vary according to the type of mutations in the WAS gene. Here, we describe the case of a 4-year-old boy with a history of marked thrombocytopenia since birth, who presented with recurrent herpes simplex infection and late onset of eczema. Examination of his family history revealed that older brother, who died from intracranial hemorrhage, had chronic idiopathic thrombocytopenia. Therefore, we proceeded with genetic analysis and found a new deletion mutation in the WAS gene: c.858delC (p.ser287Leufs*21) as a hemizygous form.
KEYWORD
Wiskott-Aldrich syndrome, Mutation, Sequence deletion
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