raremaprare-disease reference indexOrphadata 2026-06-23 · HPO 2026-09-01
ORPHA:140957

Autosomal dominant macrothrombocytopenia

Type
Disease
Group
Disorder
Inheritance
Autosomal dominant
Age of onset
Adolescent, Adult, Childhood, Elderly, Infancy
Status
active

A rare isolated constitutional thrombocytopenia characterized by abnormally large platelets.

1

Names in Orphadata languages

12 of 12 languages
LangNameSynonyms
enAutosomal dominant macrothrombocytopenia
frMacrothrombocytopénie autosomique dominante
deMakrothrombozytopenie, autosomal-dominante
esMacrotrombocitopenia autosómica dominante
itMacrotrombocitopenia autosomica dominante
nlAutosomaal dominante macrotrombocytopenie
ptMacrotrombocitopenia autossómica dominante
plAutosomalna dominująca makrotrombocytopenia
csAutozomálně dominantní makrotrombocytopenie
ukАутосомно-домінантна макротромбоцитопенія
zh常染色体显性遗传巨血小板减少症
trOtozomal dominant makrotrombositopeni

Definition in:

2

Cross-references

qualifier = Orphanet mapping relation
SourceCodeQualifierICD relationValidation
OMIM187800NTBTvalidated
OMIM613112BTNTvalidated
OMIM615193BTNTvalidated
OMIM619271BTNTvalidated
OMIM619840BTNTvalidated
OMIM620486BTNTvalidated
ICD-10D69.1NTBTattributedvalidated
ICD-113B62.01NTBTattributedvalidated
MONDO0015372Evalidated
UMLSC4304021Evalidated

E exact · NTBT this ORPHAcode is narrower than the target · BTNT broader than the target · ND not decided.

3

Classification

Preferential parent (Orphanet linearisation):

Parents in the classifications (1):

No children.

4

Genes

10 direct
GeneAssociationStatusHGNCEnsemblOMIMLocusNameSource of validation
TPM4Disease-causing germline mutation(s) (loss of function) inAssessedHGNC:12013ENSG0000016746060031719p13.12-p13.11tropomyosin 428134622[PMID]
ACTN1Disease-causing germline mutation(s) inAssessedHGNC:163ENSG0000007211010257514q24.1actinin alpha 123434115[PMID]
GFI1BDisease-causing germline mutation(s) inAssessedHGNC:4238ENSG000001657026043839q34.13growth factor independent 1B transcriptional repressor23927492[PMID]
GP1BADisease-causing germline mutation(s) inAssessedHGNC:4439ENSG0000018524560667217p13.2glycoprotein Ib platelet subunit alpha21933849[PMID]
GP1BBDisease-causing germline mutation(s) inAssessedHGNC:4440ENSG0000020361813872022q11.21glycoprotein Ib platelet subunit beta28064200[PMID]
ITGA2BDisease-causing germline mutation(s) inAssessedHGNC:6138ENSG0000000596160775917q21.31integrin subunit alpha 2b21454453[PMID]
ITGB3Disease-causing germline mutation(s) inAssessedHGNC:6156ENSG0000025920717347017q21.32integrin subunit beta 318065693[PMID]_19336737[PMID]
TRPM7Disease-causing germline mutation(s) inAssessedHGNC:17994ENSG0000009243960569215q21.2transient receptor potential cation channel subfamily M member 727020697[PMID]
TUBA8Disease-causing germline mutation(s) inAssessedHGNC:12410ENSG0000018378560574222q11.21tubulin alpha 834704371[PMID]
TUBB1Disease-causing germline mutation(s) inAssessedHGNC:16257ENSG0000010116261290120q13.32tubulin beta 1 class VI18849486[PMID]
5

Prevalence and incidence

2 records
TypeClassValueAreaQualificationValidationSource
Cases/families100 casesWorldwideCase(s)Validated18065693[PMID]_18849486[PMID]_24069336[PMID]
Point prevalence<1 / 1 000 000—WorldwideClass onlyValidatedORPHANET

Value is Orphadata's ValMoy: the mean estimate per 100 000 for prevalence and incidence, the number of cases or families for case reports.

6

HPO phenotypes

9 annotations · validated 2025-11-20
HPOTerm (as annotated by Orphanet)Diagnostic
Very frequent (99-80%)
HP:0011877Increased mean platelet volume
HP:0040185Macrothrombocytopenia
HP:0001873Thrombocytopenia
Frequent (79-30%)
HP:0032438Platelet anisocytosis
Occasional (29-5%)
HP:0000978Bruising susceptibility
HP:0000421Epistaxis
HP:0100608Metrorrhagia
HP:0006298Prolonged bleeding after dental extraction
HP:0004846Prolonged bleeding after surgery

Run the differential on the 3 obligate / very frequent terms

Annotation source: 33813986[PMID]_33276370[PMID]

7

Sources for this card