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March 4, 2026Annals of HematologyOpen Access

GFI1B mutations define an emerging form of inherited thrombocytopenia: insights from a case report and literature review

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Authors

BUBartosz UrbańskiMedical University of LodzKBK. Bąbol-PokoraMedical University of LodzMBM. BraunMedical University of Lodz

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Implication

This case report highlights GFI1B mutations affecting platelet counts in adults, suggesting need for early genetic testing.

Key Points

  • To explore the role of GFI1B mutations in inherited thrombocytopenia and the associated clinical features.
  • Comprehensive molecular analysis of GFI1B in an adult male with severe thrombocytopenia.
  • Assessment of platelet counts and bleeding episodes since childhood.
  • Evaluation of therapeutic responses to eltrombopag and romiplostim.
  • Literature review to analyze existing cases of GFI1B-related thrombocytopenia.
  • Identification of a heterozygous GFI1B variant associated with severe thrombocytopenia.
  • Patient exhibited α‑granule deficiency and persistent CD34 expression in megakaryocytes.
  • Partial response in platelet counts observed with thrombopoietin receptor agonists.
  • Familial analysis revealed variable clinical outcomes among carriers of the same variant.

Cite This Study

Urbański et al. (2026) studied this question.

synapsesocial.com/papers/69a7ccb2d48f933b5eed85c5https://doi.org/10.1007/s00277-026-06921-5
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