Jacobsen syndrome (JS) is a rare, inherited
disorder, characterized by facial and skull dysmorphism, mental retardation,
and platelet abnormalities. Paris-Trousseau syndrome (PTS) is a platelet
function disorder that may be encountered in patients affected by JS. PTS is
manifested by a mild lifelong bleeding tendency. Morphologically, the presence
of large fused platelet alpha granules is characteristic. We present a case of
Jacobsen syndrome in a child and highlight the typical morphologic and
ultrastructure findings of platelets.
References
[1]
Breton-Gorius, J., Favier, R., Guichard, J., Cherif, D., Berger, R., et al. (1995) A New Congenital Dysmegakaryopoietic Thrombocytopenia (Paris-Trousseau) Associated with Giant Platelet Alpha-Granules and Chromosome 11 Deletions at 11q23. Blood, 85, 1805-1814.
[2]
Jacobsen, P., Hauge, M., Henningsen, K., Hobolth, N., Mikkelsen, M. and Philip, J. (1973) An (11;21) Translocation in Four Generations with Chromosome 11 Abnormalities in the Offspring. A Clinical, Cytogenetical, and Gene Marker Study. Human Heredity, 23, 568-585. http://dx.doi.org/10.1159/000152624
[3]
Favier, R., Jondeau, K., Boutard, P., Grossfeld, P., Reinert, P., Jones, C., et al. (2003) Paris-Trousseau Syndrome: Clinical, Hematological, Molecular Data of Ten New Cases. Thrombosis and Haemostasis, 90, 893-897. http://dx.doi.org/10.1160/TH03-02-0120
[4]
Wenger, S.L., Grossfeld, P.D., Siu, B.L., Coad, J.E., Keller, F.G. and Hummel, M. (2006) Molecular Characterization of an 11q Interstitial Deletion in a Patient with the Clinical Features of Jacobsen Syndrome. American Journal of Medical Genetics Part A, 140A, 704-708. http://dx.doi.org/10.1002/ajmg.a.31146
[5]
Mattina, T., Perrotta, C. and Grossfeld, P. (2009) Jacobsen Syndrome. Orphanet Journal of Rare Diseases, 4, 9. http://dx.doi.org/10.1186/1750-1172-4-9
[6]
Krishnamurti, L., Neglia, J.P., Nagarajan, R., Berry, S.A., Lohr, J., Hirsch, B. and White, J.G. (2001) Paris-Trousseau Syndrome Platelets in a Child with Jacobsen’s Syndrome. American Journal of Hematology, 66, 295-299. http://dx.doi.org/10.1002/ajh.1061
[7]
White, J.G. (2007) Platelet Storage Pool Deficiency in Jacobsen Syndrome. Platelets, 18, 522-527. http://dx.doi.org/10.1080/09537100701280670
[8]
Favier, R., Akshoomoff, N., Mattson, S. and Grossfeld, P. (2015) Jacobsen Syndrome: Advances in Our Knowledge of Phenotype and Genotype. American Journal of Medical Genetics Part C: Seminars in Medical Genetics, 169, 239-250. http://dx.doi.org/10.1002/ajmg.c.31448
[9]
Kumar, R. and Kahr, W. (2013) Congenital Thrombocytopenia: Clinical Manifestations, Laboratory Abnormalities, and Molecular Defects of a Heterogeneous Group of Conditions. Hematology/Oncology Clinics of North America, 27, 465-494. http://dx.doi.org/10.1016/j.hoc.2013.02.004