Mehdizadeh Mahshid, Zamani Gholamreza
Department of Pediatric Hematology and Oncology, Shaheed Beheshti Medical University, Tehran, Iran. mahshid
Pediatr Hematol Oncol. 2007 Oct-Nov;24(7):525-9. doi: 10.1080/08880010701533793.
A 10-year-old boy presented with partial albinism and typical clinical features of a macrophage activation syndrome (hepatosplenomegaly, fever, and pancytopenia), suggesting the diagnosis of Griscelli syndrome. The diagnosis was confirmed by light microscopic evaluation of hair that showed characteristic large aggregates of pigment granules irregularly distributed along the hair shaft. Immunosuppressive therapy controlled his macrophage activation syndrome successfully. Since early diagnosis is life saving and simple methods confirm the diagnosis, finding of partial albinism in children should alert clinicians to consider Griscelli syndrome.
一名10岁男孩出现部分白化病及巨噬细胞活化综合征的典型临床特征(肝脾肿大、发热和全血细胞减少),提示诊断为格里塞利综合征。通过对毛发进行光学显微镜评估确诊,结果显示沿毛干不规则分布的特征性大色素颗粒聚集。免疫抑制治疗成功控制了他的巨噬细胞活化综合征。由于早期诊断可挽救生命且简单方法即可确诊,因此儿童出现部分白化病应提醒临床医生考虑格里塞利综合征。