hermansky_pudlak_syndrome

Hermansky-Pudlack Syndrome

  • Lethal subtype of Oculocutaneous albinism
  • Tyrosinase-positive oculocutaneous albinism
    • Skin can be from white to olive
    • Hair color can be from white to brown
  • Bleeding diathesis from platelet storage pool deficiency
  • Pulmonary Fibrosis
  • Granulomatous colitis
  • Iris pigment abnormalities with iris transillumination
  • Reduced retinal pigment
  • Foveal hypoplasia
    • VA usually between 20/50 to 20/400
    • Nystagmus
    • Abnormal increase in crossing of optic nerve fibers at the optic chiasm
  • Clinical findings above
  • Platelet electron microscopy shows absent dense bodies
    • Most often used to confirm diagnosis
  • Increased bleeding time
  • Impaired platelet aggregation
  • Urinary ceroid lipofuscin deposits is characteristic but virtually never used for diagnosis
  • Molecular diagnosis available,
    • Testing for HPS 1-8 available clinically
    • HPS 9 (BLOC1S6, PLDN) is available on a research basis only
  • Correct Refractive Error
  • Protect skin from the sun
  • Protracted bleeding with surgery- appropriate treatment needed
    • gelfoam, DDAVP, platelet transfusions
  • Supplemental Oxygen
  • Lung Transplant
  • Anti-inflammatory or immunosuppressive agents for colitis
  • hermansky_pudlak_syndrome.txt
  • Last modified: 2022/01/02 20:50
  • by oculoman