Patient LeM
Case#: Basani_1996_LeM, female, Caucasian, >1 y.o.
DiseaseAssertion: GT
FamilyInfo: nonconsanguineous parents
ParentalGenotype: one obligatory carrier
CasePresentingHPOs: HP:0000967 Petechiae, HP:0000979 Purpura,
PlateletAggregation: absence of platelet aggregation in response to adenosine diphosphate (ADP), epinephrine, and collagen, but a normal response to ristocetin.
CaseHPOFreeText: Platelet Count (1 day old): 181,000/mm^3
CaseNotHPOs:
CaseNotHPOFreeText:
ProteinExpression: Flow cytometry: platelets expressed <5% of the normal amount of αIIbβ3 when stained with the β3-specific MoAb SSA6,24 the heterodimer-dependent MoAb A2A923,24 or the activation-dependent MoAb PAC1.25 On the other hand, LeM and control platelets bound comparable amounts of the anti-GPIb MoAb AP1, confirming that the defect in the patient's platelets was confined to αIIbβ3
CasePreviousTesting:
Method: PCR using VENT polymerase confirmed with SSCPA
PreviouslyPublished:
Gene: ITGA2B
Variant: exon 13 sequence containing the 6 bp deletion 5’-GTGACA-3’ (deletion of Val425-Asp426) (heterozygous)
HGVS: NM_000419.5:c.1366_1371del (p.Val456_Asp457del)
ClinVar: 2898
CAID: CA8603160
gnomAD: 0.000008791 European (non-Finnish)