Korean J Perinatol.  2012 Jun;23(2):108-112.

May-Hegglin Anomaly Diagnosed by Genetic Study in a Newborn Infant

Affiliations
  • 1Department of Pediatrics, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea. yschang@skku.edu

Abstract

May-Hegglin anomaly is an autosomal dominant platelet disorder characterized by giant platelets, thrombocytopenia, and Dohle-like cytoplasmic inclusion bodies in granulocyte. Usually, diagnosis was delayed because they do not have life-threatening bleeding. We experienced a case of May-Hegglin anomaly, which was diagnosed with genetic study at neonate. A 3 days old female has bilateral cephalhematoma at birth after a Caesarean section delivery. Thrombocytopenia with inclusion bodies in granulocyte was observed at peripheral blood cell morphology. Her mother had thrombocytopenia at pregnancy and was diagnosed May-Hegglin anomaly through MYH9 mutation gene study. Accordingly, infant had genetic study and found same gene mutation with mother. Based on the family history, we can diagnose May-Hegglin anomaly in a newborn infant who has cephalhematoma and thrombocytopenia by genetic study.

Keyword

May-Hegglin anomaly; Thrombocytopenia; MYH9

MeSH Terms

Blood Cells
Blood Platelets
Cesarean Section
Female
Granulocytes
Hemorrhage
Humans
Inclusion Bodies
Infant
Infant, Newborn
Mothers
Parturition
Pregnancy
Thrombocytopenia
Thrombocytopenia
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