Case Report

Two Cases of the MYH9 Disorder Fechtner Syndrome Diagnosed from Observation of Peripheral Blood Cells before End-Stage Renal Failure

Table 2

MYH9 disorders; May-Hegglin syndrome, Sebastian syndrome, Epstein syndrome and Fechtner syndrome and clinical features. Clinical features of our cases and previous reported cases with the same mutations of the MYH9 gene in exon 24.

MYH9 disordersGiant plateletsGranulocyte inclusion bodiesNephritisSensorineural deafnessCataract

May-Hegglin syndrome+ (large)
Sebastian syndrome+ (small)
Epstein syndrome
Fechtner syndrome

MYH9 gene mutationsAge and sexGiant platelets and platelet count (reference range: 15.0-35.0×104/μL)Granulocyte inclusion bodiesNephritisSensorineural deafnessCataract

Case 156
p.E1066_A1072dupMale(8.2×104/μ)
N. Pujol Moix et al. [12], De Rocco D et al. [13]50
p.E1066_A1072dupFemale(1.7–8.3×104/μ)
De Rocco D et al. [13] 23
p.E1066_A1072dupMale(3.0–8.0×104/μ)
De Rocco D et al. [13] 25
p.E1066_A1072dupFemale(3.0–8.0×104/μ)

Case 259 -~±
p.E1084delMale(8.7×104/μ)
Miyazaki et al. [14]21
p.E1084delMale(8.5×104/μ)