Hereditary splenomegaly with hypersplenism

LM Rao, NT Shahidi, JM Opitz - Clinical genetics, 1974 - Wiley Online Library
LM Rao, NT Shahidi, JM Opitz
Clinical genetics, 1974Wiley Online Library
We report seven children with a clinically benign form of primary splenomegaly associated
with hematologic evidence of hypersplenism. Five belong to one sibship, the other two are
second cousins of each other and of the group of siblings. Splenectomy was performed in
five subjects, but pedigree evidence of this autosomal dominant trait tends to indicate that
complete clinical resolution occurs normally so that transmitting adults show no
splenomegaly or hypersplenism. This appears to be a newly recognized Mende‐lian …
We report seven children with a clinically benign form of primary splenomegaly associated with hematologic evidence of hypersplenism. Five belong to one sibship, the other two are second cousins of each other and of the group of siblings. Splenectomy was performed in five subjects, but pedigree evidence of this autosomal dominant trait tends to indicate that complete clinical resolution occurs normally so that transmitting adults show no splenomegaly or hypersplenism. This appears to be a newly recognized Mende‐lian mutation which is evident (“penetrant”) only in childhood, and which may possibly have pleiotropic effects on eye and CNS development.
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