Bagheri Abbas, Abdollahi Asieh
Ophthalmic Research Center, Labbafinejad Medical Center, Shahid Beheshti University of Medical Sciences, Tehran, Iran.
J Ophthalmic Vis Res. 2010 Oct;5(4):269-72.
To report a case of Hermansky-Pudlak syndrome.
A seven-year-old boy presented with marked generalized hypopigmentation, ocular exodeviation and nystagmus. He had history of easy bruising. Examination revealed green irides with marked transillumination, hypopigmented fundi and foveal hypoplasia. Further investigations disclosed platelet storage defect with adenosine diphosphate deficiency and abnormal aggregation compatible with Hermansky-Pudlak syndrome. The patient underwent strabismus surgery taking necessary precautions such as reserving platelet concentrates in case of a hemorrhagic event.
Patients with albinism should be evaluated for Hermansky-Pudlak syndrome especially before surgery to prevent life-threatening complications.
报告一例Hermansky-Pudlak综合征病例。
一名七岁男孩出现明显的全身性色素减退、眼外斜视和眼球震颤。他有容易瘀伤的病史。检查发现虹膜呈绿色且有明显透照,眼底色素减退和黄斑发育不全。进一步检查发现血小板储存缺陷,伴有二磷酸腺苷缺乏以及与Hermansky-Pudlak综合征相符的异常聚集。患者接受了斜视手术,并采取了必要的预防措施,如储备血小板浓缩物以防出血事件发生。
白化病患者应评估是否患有Hermansky-Pudlak综合征,尤其是在手术前,以预防危及生命的并发症。