Three cases of neonatal Wiskott-Aldrich syndrome and literature review

  •  WEI Qiufen ,
  • BI Hongjuan ,
  • TAN Wei ,
  • XU Jing ,
  • PAN Xinnian ,
  • LI Yan ,
  • JING Lianfang ,
  • MENG Danhua
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  • Department of Neonatology, The Maternal & Child Health Hospital, The Children’s Hospital, The Obstetrics & Gynecology Hospital of Guangxi Zhuang Autonomous Region, Nanning 530003, Guangxi, China

Received date: 2015-12-15

  Online published: 2015-12-15

Abstract

Objective To investigate the clinical characteristics and genetic diagnosis of neonatal Wiskott-Aldrich syndrome (WAS). Methods The clinical characteristics of 3 cases of WAS were analyzed. The WASP gene mutations was analyzed by Sanger sequencing method. The related literatures were reviewed to summarize the clinical characteristics, diagnosis, and prognosis of WAS. Results All three cases of WAS had postnatal thrombocytopenia, accompanying platelet volume decrease. One case suffered from sepsis. Three cases did not suffer from eczema. Three cases were detected WASP homozygotic mutations, 2 cases had WASP nonsense mutations, and one case had WASP missense mutations. Their mothers also had heterozygous mutations at the corresponding loci, and were confirmed as carriers. Conclusions Neonatal WAS often do not have typical triad, eczema, thrombocytopenia, and immunodeficiency. For neonatal with idiopathic thrombocytopenia, especially with the decrease of platelet volume, the WASP gene analysis should be performed to diagnose WAS.

Cite this article

 WEI Qiufen , BI Hongjuan , TAN Wei , XU Jing , PAN Xinnian , LI Yan , JING Lianfang , MENG Danhua . Three cases of neonatal Wiskott-Aldrich syndrome and literature review[J]. Journal of Clinical Pediatrics, 2015 , 33(12) : 1013 . DOI: 10.3969 j.issn.1000-3606.2015.12.004

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