Chédiak-Higashi syndrome

General Information (adopted from Orphanet):

Synonyms, Signs: CHS
Chédiak-Higashi disease
Chédiak-Higashi-Steinbrink syndrome
Number of Symptoms 74
OrphanetNr: 167
OMIM Id: 214500
ICD-10: E70.3
UMLs: C0007965
MeSH: D002609
MedDRA: 10008415
Snomed: 111396008

Prevalence, inheritance and age of onset:

Prevalence: 200 cases [Orphanet]
Inheritance: Autosomal recessive
[Orphanet]
Age of onset: Childhood
[Orphanet]

Disease classification (adopted from Orphanet):

Parent Diseases: Constitutional neutropenia with extra-haematopoietic manifestations
 -Rare genetic disease
 -Rare immune disease
Dense granule disease
 -Rare genetic disease
 -Rare hematologic disease
Disorder of lysosomal-related organelles
 -Rare genetic disease
Genetic immune deficiency with skin involvement
 -Rare genetic disease
Genetic neurodegenerative disease
 -Rare genetic disease
Immune deficiency with skin involvement
 -Rare skin disease
Immunodeficiency syndrome with hypopigmentation
 -Rare genetic disease
 -Rare immune disease
Rare hereditary disease with peripheral neuropathy
 -Rare genetic disease
 -Rare neurologic disease
Rare neurodegenerative disease
 -Rare neurologic disease
Syndromic oculocutaneous albinism
 -Rare eye disease
 -Rare genetic disease
 -Rare skin disease

Symptom Information: Sort by abundance 

1
(HPO:0000230) Gingivitis 31 / 7739
2
(HPO:0000225) Gingival bleeding Very frequent [Orphanet] 28 / 7739
3
(HPO:0000421) Epistaxis Frequent [Orphanet] 85 / 7739
4
(HPO:0000704) Periodontitis Very frequent [Orphanet] 24 / 7739
5
(HPO:0000613) Photophobia Frequent [Orphanet] 158 / 7739
6
(HPO:0007730) Iris hypopigmentation 4 / 7739
7
(HPO:0001104) Macular hypoplasia 9 / 7739
8
(HPO:0000486) Strabismus 576 / 7739
9
(HPO:0001107) Ocular albinism Very frequent [Orphanet] 40 / 7739
10
(HPO:0000505) Visual impairment 297 / 7739
11
(HPO:0000572) Visual loss Frequent [Orphanet] 272 / 7739
12
(HPO:0007663) Reduced visual acuity 100 / 7739
13
(HPO:0000639) Nystagmus Frequent [Orphanet] 555 / 7739
14
(HPO:0000762) Decreased nerve conduction velocity 36 / 7739
15
(HPO:0007133) Progressive peripheral neuropathy 4 / 7739
16
(HPO:0006824) Cranial nerve paralysis 81 / 7739
17
(HPO:0001249) Intellectual disability 1089 / 7739
18
(HPO:0100543) Cognitive impairment Occasional [Orphanet] 230 / 7739
19
(HPO:0100022) Abnormality of movement Occasional [Orphanet] 129 / 7739
20
(HPO:0001337) Tremor Frequent [Orphanet] 200 / 7739
21
(HPO:0009830) Peripheral neuropathy Very frequent [Orphanet] 206 / 7739
22
(HPO:0001276) Hypertonia Occasional [Orphanet] 317 / 7739
23
(HPO:0001250) Seizures 1245 / 7739
24
(HPO:0000763) Sensory neuropathy Very frequent [Orphanet] 78 / 7739
25
(HPO:0002071) Abnormality of extrapyramidal motor function Occasional [Orphanet] 76 / 7739
26
(HPO:0001265) Hyporeflexia 208 / 7739
27
(HPO:0001288) Gait disturbance 318 / 7739
28
(HPO:0001315) Reduced tendon reflexes Very frequent [Orphanet] 160 / 7739
29
(HPO:0009027) Foot dorsiflexor weakness 45 / 7739
30
(HPO:0002240) Hepatomegaly Very frequent [Orphanet] 467 / 7739
31
(HPO:0001744) Splenomegaly Very frequent [Orphanet] 337 / 7739
32
(HPO:0002239) Gastrointestinal hemorrhage Occasional [Orphanet] 97 / 7739
33
(HPO:0001396) Cholestasis Occasional [Orphanet] 136 / 7739
34
(HPO:0000952) Jaundice 105 / 7739
35
(HPO:0100838) Recurrent cutaneous abscess formation Very frequent [Orphanet] 15 / 7739
36
(HPO:0001022) Albinism Very frequent [Orphanet] 43 / 7739
37
(HPO:0005592) Giant melanosomes in melanocytes 4 / 7739
38
(HPO:0001010) Hypopigmentation of the skin Very frequent [Orphanet] 46 / 7739
39
(HPO:0000978) Bruising susceptibility Frequent [Orphanet] 123 / 7739
40
(HPO:0000953) Hyperpigmentation of the skin Occasional [Orphanet] 75 / 7739
41
(HPO:0200042) Skin ulcer Very frequent [Orphanet] 138 / 7739
42
(HPO:0005599) Hypopigmentation of hair Very frequent [Orphanet] 38 / 7739
43
(HPO:0001903) Anemia Very frequent [Orphanet] 289 / 7739
44
(HPO:0001882) Leukopenia 51 / 7739
45
(HPO:0012145) Abnormality of multiple cell lineages in the bone marrow Very frequent [Orphanet] 11 / 7739
46
(HPO:0001874) Abnormality of neutrophils Very frequent [Orphanet] 47 / 7739
47
(HPO:0001873) Thrombocytopenia Very frequent [Orphanet] 224 / 7739
48
(HPO:0001945) Fever Very frequent [Orphanet] 218 / 7739
49
(HPO:0002205) Recurrent respiratory infections Very frequent [Orphanet] 254 / 7739
50
(HPO:0005429) Recurrent systemic pyogenic infections 1 / 7739
51
(HPO:0010978) Abnormality of immune system physiology Very frequent [Orphanet] 148 / 7739
52
(HPO:0002716) Lymphadenopathy Very frequent [Orphanet] 129 / 7739
53
(HPO:0001324) Muscle weakness 859 / 7739
54
(HPO:0002334) Abnormality of the cerebellar vermis Occasional [Orphanet] 137 / 7739
55
(OMIM) Generalized lymphohistiocytic infiltrates in late phase 1 / 7739
56
(OMIM) Decreased neutrophil and monocyte migration and chemotaxis 1 / 7739
57
(OMIM) Mild/severe skin hypopigmentation 1 / 7739
58
(OMIM) Mild hair hypopigmentation 1 / 7739
59
(OMIM) Diffuse brain and spinal cord atrophy on brain CT/MRI 1 / 7739
60
(OMIM) Giant granules in muscle cells 1 / 7739
61
(OMIM) Pseudomembranous sloughing of buccal mucosa 1 / 7739
62
(OMIM) Progressive intellectual decline 1 / 7739
63
(OMIM) Lymphadenopathy in late phase 1 / 7739
64
(OMIM) Erythrophagocytosis in late phase 1 / 7739
65
(OMIM) Markedly delayed nerve conduction velocities 1 / 7739
66
(HPO:0000007) Autosomal recessive inheritance 2538 / 7739
67
(OMIM) Giant granules in Schwann cells 1 / 7739
68
(OMIM) Recurrent cutaneous and systemic pyogenic infections 1 / 7739
69
(HPO:0012758) Neurodevelopmental delay Very frequent [Orphanet] 949 / 7739
70
(HPO:0002180) Neurodegeneration 31 / 7739
71
(OMIM) Absent natural killer cell cytotoxicity 2 / 7739
72
(HPO:0001522) Death in infancy Occasional [Orphanet] 275 / 7739
73
(OMIM) Normal B cell function 1 / 7739
74
(OMIM) Giant inclusion bodies present in most granulated cells 1 / 7739

Associated genes:

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Clinical Description OMIM The features of Chediak-Higashi syndrome are decreased pigmentation of hair and eyes (partial albinism), photophobia, nystagmus, large eosinophilic, peroxidase-positive inclusion bodies in the myeloblasts and promyelocytes of the bone marrow, neutropenia, abnormal susceptibility to infection, and peculiar malignant ...
Genotype-Phenotype Correlations OMIM Karim et al. (2002) performed mutation analysis of 21 unrelated patients with the childhood, adolescent, and adult forms of CHS. In patients with severe childhood CHS, they found only functionally null mutant LYST alleles, whereas in patients with ...
Molecular genetics OMIM Barbosa et al. (1997) identified novel mutations in the coding region of the LYST gene in 3 CHS patients (606897.0006-606897.0007). Karim et al. (1997) reported 2 homozygous LYST mutations in 2 affected patients (606897.0004-606897.0005).
Diagnosis GeneReviews The diagnosis of Chediak-Higashi syndrome (CHS) is suspected in individuals with any of the following: ...
Clinical Description GeneReviews Chediak-Higashi syndrome (CHS) is characterized by OCA, immunodeficiency, and a mild bleeding tendency. Approximately 85% of affected individuals develop the accelerated phase, a lymphoproliferative infiltration of the bone marrow and reticuloendothelial system. Adolescents and adults with atypical CHS and children with classic CHS who have successfully undergone allogenic hematopoietic stem cell transplantation develop neurologic findings. ...
Differential Diagnosis GeneReviews The diagnosis of Chediak-Higashi syndrome (CHS) should be considered in individuals with pigment dilution defects of the hair, skin, or eyes; congenital or transient neutropenia; immunodeficiency; and otherwise unexplained neurologic abnormalities or neurodegeneration. Each of these findings may be variably represented in affected individuals; therefore, heightened suspicion is needed to pursue an accurate diagnosis....
Management GeneReviews To establish the extent of disease in an individual diagnosed with Chediak-Higashi syndrome (CHS), the following are recommended:...
Molecular genetics GeneReviews Information in the Molecular Genetics and OMIM tables may differ from that elsewhere in the GeneReview: tables may contain more recent information. —ED....