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The hermansky-pudlak syndrome: clinical features and imperatives from an ophthalmic perspective.
[oculocutaneous albinism]
The
Hermansky-
Pudlak
Syndrome
(
HPS
)
is
a
rare
,
autosomal
recessive
condition
comprising
nine
genetically
heterogeneous
entities
that
feature
oculocutaneous
albinism
(
OCA
)
and
bleeding
tendency
as
their
principal
clinical
manifestations
.
The
pathogenesis
of
HPS
involves
disturbances
in
the
biogenesis
and
trafficking
of
lysosome-related
organelles
.
While
the
ophthalmologist
is
trained
to
address
the
ocular
manifestations
of
OCA
,
it
is
critical
for
the
provider
to
consider
HPS
when
examining
OCA
patients
as
its
systemic
sequelae
may
be
associated
with
morbidity
and
mortality
.
If
there
is
suspicion
of
HPS
in
a
patient
with
albinism
,
the
ophthalmologist
should
enlist
the
aid
of
consultants
to
confirm
the
diagnosis
and
monitor
for
systemic
features
.
As
the
nine
HPS
subtypes
explored
in
this
article
vary
widely
in
the
character
and
severity
of
their
associated
systemic
manifestations
,
some
authors
advocate
determining
the
specific
gene
defect
in
each
HPS
patient
in
order
to
optimize
care
and
provide
anticipatory
guidance
.
Diseases
Validation
Diseases presenting
"the ophthalmologist should enlist the aid of consultants to confirm the diagnosis and monitor for systemic features"
symptom
oculocutaneous albinism
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