Hermansky-Pudlak syndrome

General Information (adopted from Orphanet):

Synonyms, Signs: HPS
Number of Symptoms 56
OrphanetNr: 79430
OMIM Id: 203300
608233
614072
614073
614074
614075
614076
614077
614171
ICD-10: E70.3
UMLs:
MeSH:
MedDRA:
Snomed: 9311003

Prevalence, inheritance and age of onset:

Prevalence: 0.15 [Orphanet]
Inheritance: Autosomal recessive
25117010 [IBIS]
Age of onset: Infancy
Childhood
Adult
24179932; 25447654 [IBIS]

Disease classification (adopted from Orphanet):

Parent Diseases: Dense granule disease
 -Rare genetic disease
 -Rare hematologic disease
Disorder of lysosomal-related organelles
 -Rare genetic disease
Syndromic oculocutaneous albinism
 -Rare eye disease
 -Rare genetic disease
 -Rare skin disease

Comment:

Hermansky-Pudlak syndrome belongs to the group of inherited platelet function disorders. It is characterized by congenital alteration of lysosome-related subcellular organelles, like delta-granules in platelets or melanosomes in melanocytes (PMID:25117010). Currently nine genes are known to be involved in the development of the disease, among which HPS1, HPS4 (PMID:26029628) and more rare also HPS2 are associated with pulmonary fibrosis (PMID:25447654). no PMID for age of onset infancy

Symptom Information: Sort by abundance 

1
(HPO:0000132) Menorrhagia 24179932 IBIS 40 / 7739
2
(HPO:0007663) Reduced visual acuity 24179932 IBIS 100 / 7739
3
(HPO:0040186) Maculopapular exanthema 24179932 IBIS 2 / 7739
4
(HPO:0002094) Dyspnea 24179932 IBIS 132 / 7739
5
(HPO:0012735) Cough 25447654 IBIS 24 / 7739
6
(HPO:0002875) Exertional dyspnea 25447654 IBIS 29 / 7739
7
(HPO:0000646) Amblyopia 25447654 IBIS 42 / 7739
8
(HPO:0030138) Excessive bleeding from superficial cuts 25117010 IBIS 1 / 7739
9
(HPO:0000072) Hydroureter 25117010 IBIS 146 / 7739
10
(HPO:0011813) Increased cerebral lipofuscin 25117010 IBIS 4 / 7739
11
(HPO:0002721) Immunodeficiency 25117010 IBIS 97 / 7739
12
(HPO:0001875) Neutropenia 25117010 IBIS 83 / 7739
13
(HPO:0011869) Abnormal platelet function Very frequent [IBIS] 25117010 IBIS 12 / 7739
14
(HPO:0002583) Colitis Frequent [IBIS] 25117010 IBIS 9 / 7739
15
(HPO:0001892) Abnormal bleeding Frequent [IBIS] 25117010 IBIS 85 / 7739
16
(HPO:0000079) Abnormality of the urinary system Frequent [Orphanet] 88 / 7739
17
(HPO:0000083) Renal insufficiency Frequent [Orphanet] 232 / 7739
18
(HPO:0000858) Menstrual irregularities Frequent [Orphanet] 42 / 7739
19
(HPO:0000682) Abnormality of dental enamel Occasional [Orphanet] 102 / 7739
20
(HPO:0000421) Epistaxis Frequent [IBIS] Frequent [Orphanet] 25117010; 24179932 IBIS 85 / 7739
21
(HPO:0000499) Abnormality of the eyelashes Occasional [Orphanet] 35 / 7739
22
(HPO:0000545) Myopia Frequent [Orphanet] 286 / 7739
23
(HPO:0001107) Ocular albinism Frequent [IBIS] Very frequent [Orphanet] 25117010 IBIS 40 / 7739
24
(HPO:0000486) Strabismus Frequent [Orphanet] 576 / 7739
25
(HPO:0008002) Abnormality of macular pigmentation Frequent [Orphanet] 20 / 7739
26
(HPO:0000505) Visual impairment Very frequent [Orphanet] 297 / 7739
27
(HPO:0000649) Abnormality of visual evoked potentials Frequent [Orphanet] 34 / 7739
28
(HPO:0000572) Visual loss Occasional [Orphanet] 25117010 IBIS 272 / 7739
29
(HPO:0000496) Abnormality of eye movement Frequent [IBIS] Frequent [Orphanet] 25117010 IBIS 79 / 7739
30
(HPO:0000639) Nystagmus Frequent [IBIS] Very frequent [Orphanet] 25117010 IBIS 555 / 7739
31
(HPO:0000613) Photophobia Frequent [Orphanet] 158 / 7739
32
(HPO:0000483) Astigmatism Frequent [Orphanet] 67 / 7739
33
(HPO:0000518) Cataract Frequent [Orphanet] 454 / 7739
34
(HPO:0002037) Inflammation of the large intestine Occasional [Orphanet] 25 / 7739
35
(HPO:0002027) Abdominal pain Occasional [Orphanet] 184 / 7739
36
(HPO:0002250) Abnormality of the large intestine Occasional [Orphanet] 32 / 7739
37
(HPO:0002239) Gastrointestinal hemorrhage Occasional [Orphanet] 97 / 7739
38
(HPO:0002024) Malabsorption Occasional [Orphanet] 142 / 7739
39
(HPO:0004325) Decreased body weight Occasional [Orphanet] 492 / 7739
40
(HPO:0000995) Melanocytic nevus Occasional [Orphanet] 63 / 7739
41
(HPO:0001022) Albinism Frequent [IBIS] Frequent [Orphanet] 25117010 IBIS 43 / 7739
42
(HPO:0000978) Bruising susceptibility Frequent [IBIS] Frequent [Orphanet] 24179932 IBIS 123 / 7739
43
(HPO:0005599) Hypopigmentation of hair Frequent [Orphanet] 38 / 7739
44
(HPO:0001072) Thickened skin Occasional [Orphanet] 87 / 7739
45
(HPO:0001010) Hypopigmentation of the skin Frequent [IBIS] Very frequent [Orphanet] 25117010 IBIS 46 / 7739
46
(HPO:0008069) Neoplasm of the skin Occasional [Orphanet] 84 / 7739
47
(HPO:0000962) Hyperkeratosis Occasional [Orphanet] 216 / 7739
48
(HPO:0001638) Cardiomyopathy Occasional [IBIS] Occasional [Orphanet] 24179932 IBIS 192 / 7739
49
(HPO:0001872) Abnormality of thrombocytes Occasional [Orphanet] 20 / 7739
50
(HPO:0003010) Prolonged bleeding time Frequent [IBIS] Very frequent [Orphanet] 25447654 IBIS 88 / 7739
51
(HPO:0001874) Abnormality of neutrophils Occasional [Orphanet] 47 / 7739
52
(HPO:0002093) Respiratory insufficiency Occasional [Orphanet] 410 / 7739
53
(HPO:0002206) Pulmonary fibrosis Frequent [IBIS] Frequent [Orphanet] 25117010 IBIS 51 / 7739
54
(HPO:0010978) Abnormality of immune system physiology Very frequent [Orphanet] 148 / 7739
55
(HPO:0001324) Muscle weakness Occasional [Orphanet] 859 / 7739
56
(HPO:0012795) Abnormality of the optic disc Frequent [Orphanet] 187 / 7739

Associated genes:

HPS1; AP3B1; HPS3; HPS4; HPS5; HPS6; DTNBP1; BLOC1S3; BLOC1S6;

ClinVar (via SNiPA)

Gene symbol Variation Clinical significance Reference

Additional Information:

Diagnosis GeneReviews The diagnosis of Hermansky-Pudlak syndrome (HPS) is established by clinical findings of oculocutaneous albinism in combination with a bleeding diathesis of variable severity [Gahl et al 1998, Huizing et al 2008]. ...
Clinical Description GeneReviews The clinical characteristics of Hermansky-Pudlak syndrome (HPS) consist of oculocutaneous albinism, a bleeding diathesis, a platelet storage pool deficiency, and other organ involvement [Huizing et al 2001b, Huizing & Gahl 2002, Huizing et al 2008]. Signs and symptoms of oculocutaneous albinism in HPS are variable but visual acuity generally remains stable. ...
Genotype-Phenotype Correlations GeneReviews Correlations between specific HPS-causing mutations in any one gene and particular clinical presentations are not convincing. However, individuals with mutations in the same HPS protein complex exhibit similar clinical characteristics [Huizing et al 2008]. Those complexes are described in Molecular Genetic Pathogenesis. ...
Differential Diagnosis GeneReviews Albinism. The diagnosis of Hermansky-Pudlak syndrome (HPS) should be considered in anyone with oculocutaneous albinism or ocular albinism, as the bleeding diathesis can be mild, unrecognized, or previously disregarded. Some would advocate screening all individuals with albinism for HPS by examining their platelets for absent dense bodies. Disorders with albinism included in the differential diagnosis: ...
Management GeneReviews To establish the extent of disease in an individual diagnosed with Hermansky-Pudlak syndrome (HPS), 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....