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<meta name="keywords" content="C5200934, alport syndrome with leukocyte inclusions and macrothrombocytopenia, alport syndrome with macrothrombocytopenia, alport syndrome with macrothrombocytopenia, formerly, apsm, formerly, autosomal dominant myh9 spectrum disorders, bdplt6, bleeding disorder, platelet-type, 6, brodie chole griffin syndrome, brodie chole gryphon syndrome, disease or syndrome, dohle leukocyte inclusions with giant platelets, epstein syndrome, fechtner syndrome, fechtner's syndrome, ftns, giant platelet syndrome with thrombocytopenia, macrothrombocytopathy, nephritis, and deafness, macrothrombocytopathy, nephritis, deafness, and leukocyte inclusions, macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss, macrothrombocytopenia and progressive sensorineural deafness, macrothrombocytopenia progressive deafness, macrothrombocytopenia with dispersed leukocytic inclusions, macrothrombocytopenia with leukocyte inclusions, macrothrombocytopenia, nephritis, and deafness, macrothrombocytopenia, nephritis, deafness, and leukocyte inclusions, matins, may-hegglin anomaly, may-hegglin thrombocytopenia, mha, myh-9 related disease, myh9, myh9 gene-related autosomal macrothrombocytopenias, myh9 related disease, myh9 related disorders, myh9 related thrombocytopenia, myh9-rd, myh9-related disease, myh9-related disorder, myh9-related disorders, myh9-related macrothrombocytopenias, myh9-related syndrome, myh9-related syndromic thrombocytopenia, myh9rd, myosin heavy chain 9 non muscle related disease, sbs, sebastian platelet syndrome, sebastian syndrome, autosomal dominant, autosomal recessive, birth defects, chromosomal disease, chromosome, clinical features, clinical findings, clinical genetics, clinical recommendations, clinvar, congenital chromosomal disease, consumer genetic resources, cytogenetic location, disease characteristics, disease definitions, disease descriptions, disease ontology, disease synonyms, disease vocabulary, dysmorphology, entrez, familial disease, gene, gene-disease relationship, genereviews, genetic disease, genetic disorder, genetic terminology, genetic testing registry, genetics home reference, genomic disease, gtr, hereditary disease, heritable disease, hpo, human phenotype ontology, inherited disease, management guidelines, maternal inheritance, medgen, medical genetics, medical subject headings, mesh, mitochondrial inheritance, mode of inheritance, national center for biotechnology information, national institutes of health, national library of medicine, ncbi, nih, nlm, omim, ordo, orphanet, paternal inheritance, phenome, position statements, professional practice guidelines, rare disease, reference sequence, refseq, snomed ct, syndrome, undiagnosed diseases, x-linked recessive" /><meta name="description" content="MYH9-related disease (MYH9-RD) is characterized in all affected individuals by hematologic features present from birth consisting of platelet macrocytosis (i.e., &gt;40% of platelets larger than 3.9 µm in diameter), thrombocytopenia (platelet count &lt;150 x 109/L), and aggregates of the MYH9 protein in the cytoplasm of neutrophil granulocytes. Most affected individuals develop one or more additional extrahematologic manifestations of the disease over their lifetime, including sensorineural hearing loss, renal disease (manifesting initially as glomerular nephropathy), presenile cataracts, and/or elevation of liver enzymes." /><meta name="robots" content="index,nofollow,noarchive" />
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<title>Macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss (Concept Id: C5200934)
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<!--
UID=1704278
ConceptID=C5200934
-->
<!--imgCountBooks = 0--><h1 class="medgenTitle"><div class="MedGenTitleText">Macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss<span class="h1sub">(MATINS)</span></div></h1><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1704278</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information."><span class="highlight" style="background-color:">C5200934</span></a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div><table class="medgenTable"><tbody><tr><td>Synonyms:</td>
<td>ALPORT SYNDROME WITH MACROTHROMBOCYTOPENIA; BLEEDING DISORDER, PLATELET-TYPE, 6; DOHLE LEUKOCYTE INCLUSIONS WITH GIANT PLATELETS; Epstein syndrome; Fechtner syndrome; Giant platelet syndrome with thrombocytopenia; Macrothrombocytopenia and progressive sensorineural deafness; MACROTHROMBOCYTOPENIA WITH DISPERSED LEUKOCYTIC INCLUSIONS; MACROTHROMBOCYTOPENIA WITH LEUKOCYTE INCLUSIONS; MACROTHROMBOCYTOPENIA, NEPHRITIS, AND DEAFNESS; MACROTHROMBOCYTOPENIA, NEPHRITIS, DEAFNESS, AND LEUKOCYTE INCLUSIONS; MATINS; May-Hegglin anomaly; SEBASTIAN PLATELET SYNDROME; Sebastian syndrome</td></tr>
<tr><td><span class="bold">SNOMED CT: </span></td>
<td>MYH9 related disease (712922002); Myosin heavy chain 9 non muscle related disease (712922002); MYH9-related syndromic thrombocytopenia (712922002)</td></tr>
<tr><td>Modes of inheritance:</td>
<td>
<div class="divPopper rprt" id="moi_141047"><div><strong>Autosomal dominant inheritance</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>141047</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0443147</a></dd><dt><span class="dotprefix"></span></dt><dd>Intellectual Product</dd></dl></div></div></div>
<div class="spaceAbove">Source: Orphanet</div>
<div class="spaceAbove">A mode of inheritance that is observed for traits related to a gene encoded on one of the autosomes (i.e., the human chromosomes 1-22) in which a trait manifests in heterozygotes. In the context of medical genetics, an autosomal dominant disorder is caused when a single copy of the mutant allele is present. Males and females are affected equally, and can both transmit the disorder with a risk of 50% for each child of inheriting the mutant allele.</div></div>
<div class="hangingIndent"><a title="click for more information" class="jig-ncbipopper" href="#moi_141047" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Autosomal dominant inheritance</a><span> (Orphanet)</span></div></td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td><a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#target-gene-loc">Gene (location):<img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a><div class="display-none" id="target-gene-loc">
Gene(s) directly associated with<br />
this condition or phenotype.</div></td>
<td><a target="_blank" title="MYH9 - ID: 4627 - NCBI Gene" href="/gene/4627" class="medgenPMinfo">MYH9</a> (22q12.3)</td></tr>
<tr><td colspan="2" class="small"> </td></tr><tr><td>Monarch Initiative:</td>
<td><a href="https://monarchinitiative.org/disease/MONDO:0015912" target="_blank">MONDO:0015912</a></td></tr>
<tr><td>OMIM<span class="superscript">®</span>:</td>
<td><a href="https://omim.org/entry/155100" target="_blank">155100</a></td></tr>
<tr><td>Orphanet:</td>
<td><a target="_blank" title="Orphanet: The portal for rare diseases and orphan drugs" href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?lng=EN&amp;Expert=182050">ORPHA182050</a></td></tr></tbody></table></div><div class="rprt-body jig-ncbiinpagenav" data-jigconfig="smoothScroll: false, gotoTopLink: true, gotoTopLinkText: '', gotoTopLinkAttrs: {'title': 'Go to the top of the page'},allHeadingLevels: ['h1'], topOfPageTOC: true, tocId: 'my-toc'"><div id="rprt-tabs-1" class="rprt-tab"><div id="tb-termsProp-1"><div class="leftCol mgCol"><div>
<div class="portlet mgSection" id="ID_101">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Disease_characteristics">Disease characteristics</h1><a sid="101" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="excerpt">Excerpted from the <i>GeneReview: </i><a href="/books/NBK2689" target="_blank">MYH9-Related Disease</a></div><div>MYH9-related disease (MYH9-RD) is characterized in all affected individuals by hematologic features present from birth consisting of platelet macrocytosis (i.e., &gt;40% of platelets larger than 3.9 μm in diameter), thrombocytopenia (platelet count &lt;150 x 109/L), and aggregates of the MYH9 protein in the cytoplasm of neutrophil granulocytes. Most affected individuals develop one or more additional extrahematologic manifestations of the disease over their lifetime, including sensorineural hearing loss, renal disease (manifesting initially as glomerular nephropathy), presenile cataracts, and/or elevation of liver enzymes. [from <a title="GeneReviews" href="https://www.ncbi.nlm.nih.gov/books/NBK1116" class="defSource" target="_blank">GeneReviews</a>]</div><div class="spaceAbove"><strong>Full text of <i>GeneReview</i> (by section):</strong><br /><a class="medgenPMinfo" href="/books/NBK2689#myh9.Summary" target="NBK2689">Summary</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.GeneReview_Scope" target="NBK2689">GeneReview Scope</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Diagnosis" target="NBK2689">Diagnosis</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Clinical_Characteristics" target="NBK2689">Clinical Characteristics</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Genetically_Related_Allelic_Disorde" target="NBK2689">Genetically Related (Allelic) Disorders</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Differential_Diagnosis" target="NBK2689">Differential Diagnosis</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Management" target="NBK2689">Management</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Genetic_Counseling" target="NBK2689">Genetic Counseling</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Resources" target="NBK2689">Resources</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Molecular_Genetics" target="NBK2689">Molecular Genetics</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.Chapter_Notes" target="NBK2689">Chapter Notes</a>  |  <a class="medgenPMinfo" href="/books/NBK2689#myh9.References" target="NBK2689">References</a></div><div class="spaceAbove"><strong>Authors:</strong><br />
Anna Savoia  |  Alessandro Pecci   <a href="/books/NBK2689" target="NBK2689" title="NCBI Bookshelf: MYH9-Related Disease">view full author information</a></div></div>
</div>
<div class="portlet mgSection" id="ID_117">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Additional_descriptions">Additional descriptions</h1><a sid="117" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><div class="mgSection"><strong>From OMIM</strong><br />Macrothrombocytopenia with or without granulocyte inclusions, nephritis, or sensorineural hearing loss was previously thought to comprise 4 distinct entities with overlapping features: Fechtner syndrome, May-Hegglin anomaly, Epstein syndrome, and Sebastian syndrome. Fechtner syndrome was characterized by the triad of thrombocytopenia, giant platelets, and Dohle body-like inclusions in peripheral blood leukocytes, with the additional Alport syndrome (301050)-like features of nephritis, hearing loss, and eye abnormalities, predominantly cataracts (Peterson et al., 1985). May-Hegglin anomaly was characterized by the triad of thrombocytopenia, giant platelets, and Dohle body-like inclusions in peripheral blood leukocytes. Epstein syndrome was characterized by thrombocytopenia, deafness, and nephritis, and lacked leukocyte inclusion bodies on classic staining of peripheral blood smears. Sebastian syndrome was similar to May-Hegglin anomaly, but had a different ultrastructural appearance of the leukocyte inclusions. Seri et al. (2003) suggested that these 4 disorders were not distinct entities, but rather represented a single disorder with a continuous clinical spectrum because variable phenotypic expression is observed not only between families but also within families having the same MYH9 mutation. In addition, Balduini et al. (2011) noted that all patients present leukocyte inclusion bodies, although of variable size. Seri et al. (2003) proposed the term 'MYH9-related disease' for the disorder; however, an isolated form of nonsyndromic deafness (DFNA17; 603622) is also caused by mutation in the MYH9 gene.  <a target="_blank" href="http://www.omim.org/entry/155100">http://www.omim.org/entry/155100</a></div><div class="mgSection"><strong>From MedlinePlus Genetics</strong><br />MYH9-related disorder is a condition that can have many signs and symptoms, including bleeding problems, hearing loss, kidney (renal) disease, and clouding of the lens of the eyes (cataracts).<br /><br />The bleeding problems in people with MYH9-related disorder are due to thrombocytopenia. Thrombocytopenia is a reduced level of circulating platelets, which are small cells that normally assist with blood clotting. People with MYH9-related disorder typically experience easy bruising, and affected women have excessive bleeding during menstruation (menorrhagia). The platelets in people with MYH9-related disorder are larger than normal. These enlarged platelets have difficulty moving into tiny blood vessels like capillaries. As a result, the platelet level is even lower in these small vessels, further impairing clotting.<br /><br />Some people with MYH9-related disorder develop hearing loss caused by abnormalities of the inner ear (sensorineural hearing loss). Hearing loss may be present from birth or can develop anytime into late adulthood.<br /><br />An estimated 30 to 70 percent of people with MYH9-related disorder develop renal disease, usually beginning in early adulthood. The first sign of renal disease in MYH9-related disorder is typically protein or blood in the urine. Renal disease in these individuals particularly affects structures called glomeruli, which are clusters of tiny blood vessels that help filter waste products from the blood. The resulting damage to the kidneys can lead to kidney failure and end-stage renal disease (ESRD).<br /><br />Some affected individuals develop cataracts in early adulthood that worsen over time.<br /><br />Not everyone with MYH9-related disorder has all of the major features. All individuals with MYH9-related disorder have thrombocytopenia and enlarged platelets. Most commonly, affected individuals will also have hearing loss and renal disease. Cataracts are the least common sign of this disorder.<br /><br />MYH9-related disorder was previously thought to be four separate disorders: May-Hegglin anomaly, Epstein syndrome, Fechtner syndrome, and Sebastian syndrome. All of these disorders involved thrombocytopenia and enlarged platelets and were distinguished by some combination of hearing loss, renal disease, and cataracts. When it was discovered that these four conditions all had the same genetic cause, they were combined and renamed MYH9-related disorder.  <a target="_blank" href="https://medlineplus.gov/genetics/condition/myh9-related-disorder">https://medlineplus.gov/genetics/condition/myh9-related-disorder</a></div></div>
</div>
<div class="portlet mgSection" id="ID_102">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Clinical_features">Clinical features</h1><a sid="102" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln clinfeat"><strong>From HPO</strong><br />
<div class="divPopper rprt" id="clin_78593"><div><strong>Abnormality of the kidney</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>78593</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0266292</a></dd><dt><span class="dotprefix"></span></dt><dd>Congenital Abnormality</dd></dl></div></div></div>
<div class="spaceAbove">An abnormality of the kidney.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/78593">Feature record</a> | <a href="/medgen?term=%22Abnormality%20of%20the%20kidney%22%5BClinical%20Features%5D%20OR%2078593%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_10150"><div><strong>Myocardial infarction</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>10150</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0027051</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">Necrosis of the myocardium caused by an obstruction of the blood supply to the heart and often associated with chest pain, shortness of breath, palpitations, and anxiety as well as characteristic EKG findings and elevation of serum markers including creatine kinase-MB fraction and troponin.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/10150">Feature record</a> | <a href="/medgen?term=%22Myocardial%20infarction%22%5BClinical%20Features%5D%20OR%2010150%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_9164"><div><strong>Sensorineural hearing loss disorder</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>9164</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0018784</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">A type of hearing impairment in one or both ears related to an abnormal functionality of the cochlear nerve.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/9164">Feature record</a> | <a href="/medgen?term=%22Sensorineural%20hearing%20loss%20disorder%22%5BClinical%20Features%5D%20OR%209164%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_4996"><div><strong>Epistaxis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>4996</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0014591</a></dd><dt><span class="dotprefix"></span></dt><dd>Pathologic Function</dd></dl></div></div></div>
<div class="spaceAbove">Epistaxis, or nosebleed, refers to a hemorrhage localized in the nose.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/4996">Feature record</a> | <a href="/medgen?term=%22Epistaxis%22%5BClinical%20Features%5D%20OR%204996%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_44358"><div><strong>Menorrhagia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>44358</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0025323</a></dd><dt><span class="dotprefix"></span></dt><dd>Pathologic Function</dd></dl></div></div></div>
<div class="spaceAbove">Prolonged and excessive menses at regular intervals in excess of 80 mL or lasting longer than 7 days.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/44358">Feature record</a> | <a href="/medgen?term=%22Menorrhagia%22%5BClinical%20Features%5D%20OR%2044358%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_52737"><div><strong>Thrombocytopenia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>52737</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0040034</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove">A reduction in the number of circulating thrombocytes.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/52737">Feature record</a> | <a href="/medgen?term=%22Thrombocytopenia%22%5BClinical%20Features%5D%20OR%2052737%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_56231"><div><strong>Prolonged bleeding time</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>56231</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0151529</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Prolongation of the time taken for a standardized skin cut of fixed depth and length to stop bleeding.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/56231">Feature record</a> | <a href="/medgen?term=%22Prolonged%20bleeding%20time%22%5BClinical%20Features%5D%20OR%2056231%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_137700"><div><strong>Giant platelets</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>137700</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0333864</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Giant platelets are larger than 7 micrometers and usually 10 to 20 micrometers. The term giant platelet is used when the platelet is larger than the size of the average red cell in the field. (Description adapted from College of American Pathologists, Hematology Manual, 1998).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/137700">Feature record</a> | <a href="/medgen?term=%22Giant%20platelets%22%5BClinical%20Features%5D%20OR%20137700%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_264316"><div><strong>Abnormal bleeding</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>264316</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C1458140</a></dd><dt><span class="dotprefix"></span></dt><dd>Pathologic Function</dd></dl></div></div></div>
<div class="spaceAbove">An abnormal susceptibility to bleeding, often referred to as a bleeding diathesis. A bleeding diathesis may be related to vascular, platelet and coagulation defects.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/264316">Feature record</a> | <a href="/medgen?term=%22Abnormal%20bleeding%22%5BClinical%20Features%5D%20OR%20264316%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_414334"><div><strong>Macrothrombocytopenia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>414334</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C2751260</a></dd><dt><span class="dotprefix"></span></dt><dd>Disease or Syndrome</dd></dl></div></div></div>
<div class="spaceAbove nowrap">See: <a href="/medgen/414334">Feature record</a> | <a href="/medgen?term=%22Macrothrombocytopenia%22%5BClinical%20Features%5D%20OR%20414334%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_870285"><div><strong>Impaired epinephrine-induced platelet aggregation</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>870285</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4024727</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Abnormal response to epinephrine as manifested by reduced or lacking aggregation of platelets upon addition of epinephrine.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/870285">Feature record</a> | <a href="/medgen?term=%22Impaired%20epinephrine-induced%20platelet%20aggregation%22%5BClinical%20Features%5D%20OR%20870285%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_870824"><div><strong>Impaired ADP-induced platelet aggregation</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>870824</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4025282</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">Abnormal platelet response to ADP as manifested by reduced or lacking aggregation of platelets upon addition of ADP.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/870824">Feature record</a> | <a href="/medgen?term=%22Impaired%20ADP-induced%20platelet%20aggregation%22%5BClinical%20Features%5D%20OR%20870824%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_871247"><div><strong>Abnormal thrombosis</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>871247</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4025731</a></dd><dt><span class="dotprefix"></span></dt><dd>Anatomical Abnormality</dd></dl></div></div></div>
<div class="spaceAbove">Venous or arterial thrombosis (formation of blood clots) of spontaneous nature and which cannot be fully explained by acquired risk (e.g. atherosclerosis).</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/871247">Feature record</a> | <a href="/medgen?term=%22Abnormal%20thrombosis%22%5BClinical%20Features%5D%20OR%20871247%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_1611304"><div><strong>Megakaryocyte dysplasia</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>1611304</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4540467</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">The presence of micro-megakaryocytes, hypo-lobed, or non-lobed nuclei in megakaryocytes of all sizes and multiple, widely-separated nuclei.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/1611304">Feature record</a> | <a href="/medgen?term=%22Megakaryocyte%20dysplasia%22%5BClinical%20Features%5D%20OR%201611304%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_867189"><div><strong>Neutrophil inclusion bodies</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>867189</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4021547</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">The presence of intracellular inclusion bodies (aggregates of stainable substances, usually proteins) in neutrophils. Cytoplasmic neutrophil inclusions (oval, basophilic) are also known as Doehle bodies.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/867189">Feature record</a> | <a href="/medgen?term=%22Neutrophil%20inclusion%20bodies%22%5BClinical%20Features%5D%20OR%20867189%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_908819"><div><strong>Leukocyte inclusion bodies</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>908819</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C4280711</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">The presence of intraceullar inclusion bodies (aggregates of stainable substances, usually proteins) in leukocytes.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/908819">Feature record</a> | <a href="/medgen?term=%22Leukocyte%20inclusion%20bodies%22%5BClinical%20Features%5D%20OR%20908819%5Buid%5D">Search on this feature</a></div></div>
<div class="divPopper rprt" id="clin_140849"><div><strong>Bruising susceptibility</strong><div class="aux"><div class="resc"><dl class="rprtid"><dt>MedGen UID: </dt><dd>140849</dd><dt><span class="dotprefix"></span>Concept ID: </dt><dd><a href="/medgen/docs/help/#sources" target="_blank" title="Concept Unique Identifier from NLM's Unified Medical Language system (UMLS)&#10;Click for more information.">C0423798</a></dd><dt><span class="dotprefix"></span></dt><dd>Finding</dd></dl></div></div></div>
<div class="spaceAbove">An ecchymosis (bruise) refers to the skin discoloration caused by the escape of blood into the tissues from ruptured blood vessels. This term refers to an abnormally increased susceptibility to bruising. The corresponding phenotypic abnormality is generally elicited on medical history as a report of frequent ecchymoses or bruising without adequate trauma.</div>
<div class="spaceAbove nowrap">See: <a href="/medgen/140849">Feature record</a> | <a href="/medgen?term=%22Bruising%20susceptibility%22%5BClinical%20Features%5D%20OR%20140849%5Buid%5D">Search on this feature</a></div></div><div class="TreeLite" data-jigconfig="closed: 1"><div class="concept-def"><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().openAll(); return false;">Show all</a><a class="small" href="#" onclick="jQuery(&quot;.TreeLite&quot;,&quot;#ID_102&quot;).TreeLite().closeAll(); return false;">Hide all</a></div><ul><li><span class="TLline">Abnormality of blood and blood-forming tissues</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_264316" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Abnormal bleeding</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_871247" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Abnormal thrombosis</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_4996" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Epistaxis</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_137700" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Giant platelets</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_870824" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Impaired ADP-induced platelet aggregation</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_870285" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Impaired epinephrine-induced platelet aggregation</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_414334" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Macrothrombocytopenia</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_1611304" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Megakaryocyte dysplasia</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_44358" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Menorrhagia</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_56231" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Prolonged bleeding time</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_52737" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Thrombocytopenia</a></span></li></ul></li><li><span class="TLline">Abnormality of the cardiovascular system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_10150" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Myocardial infarction</a></span></li></ul></li><li><span class="TLline">Abnormality of the genitourinary system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_78593" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Abnormality of the kidney</a></span></li></ul></li><li><span class="TLline">Abnormality of the immune system</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_908819" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Leukocyte inclusion bodies</a></span></li><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_867189" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Neutrophil inclusion bodies</a></span></li></ul></li><li><span class="TLline">Abnormality of the integument</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_140849" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Bruising susceptibility</a></span></li></ul></li><li><span class="TLline">Ear malformation</span><ul><li class="TLline">
<span class="TLline"><a title="click for more information" class="jig-ncbipopper" href="#clin_9164" data-jigconfig="hasArrow: true, openEvent: 'click', closeEvent: 'mouseout', openAnimation: 'fadeIn', closeAnimation: 'fadeOut', triggerPosition: 'center right', destPosition: 'center left', arrowDirection: 'left'">Sensorineural hearing loss disorder</a></span></li></ul></li></ul></div></div>
</div>
<div class="portlet mgSection" id="ID_118">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Term_Hierarchy">Term Hierarchy</h1><a sid="118" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln HierarchyGTR"><div class="jig-ncbitabs"><ul><li><a href="#tabGTR">GTR</a></li><li><a href="#tabMGEN">MeSH</a></li></ul><div id="tabGTR"><div class="search_result"><div class="rprts"><div class="chiclet_legend"><span class="chiclet_list" style="position:static;"><span title="Clinical test" class="chiclet Ccolor round">C</span><span>Clinical test,  </span><span title="Research test" class="chiclet Rcolor round">R</span><span>Research test,  </span><span title="OMIM" class="chiclet Ocolor ">O</span><span>OMIM,  </span><span title="GeneReview" class="chiclet Gcolor">G</span><span><em>GeneReviews</em>,  </span><span title="ClinVar" class="chiclet Vcolor">V</span><span>ClinVar  </span></span></div><div id="hierarchy" class="margin_t1"><div class="ds_tree"><ul><li class="matched_ds"><span class="chiclet_list"><span class="chiclet Ccolor round" title="Clinical test"><a target="_blank" href="/gtr/tests/?term=C5200934[DISCUI]&amp;test_type=Clinical" ref="ncbi_uid=1704278">C</a></span><span class="chiclet unavailable round" title="Research Tests">R</span><span class="chiclet Ocolor" title="OMIM"><a ref="ncbi_uid=1704278" target="_blank" href="/omim/155100">O</a></span><span class="chiclet Gcolor" title="GeneReviews"><a target="_blank" href="/books/NBK2689/" ref="ncbi_uid=1704278">G</a></span><span class="chiclet Vcolor" title="ClinVar"><a target="_blank" href="/clinvar?LinkName=medgen_clinvar&amp;from_uid=1704278" ref="ncbi_uid=1704278">V</a></span></span><span class="TLline">Macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss</span></li></ul></div></div></div></div></div><div id="tabMGEN"><div class="ds_tree"><ul><li><span class="TLline"><a href="/medgen/21047" ref="tree=MeSH" title="MedGen record for Pathological Conditions, Signs and Symptoms">Pathological Conditions, Signs and Symptoms</a></span><ul><li><span class="TLline"><a href="/medgen/18325" ref="tree=MeSH" title="MedGen record for Pathological process">Pathological process</a></span><ul><li><span class="TLline"><a href="/medgen/4347" ref="tree=MeSH" title="MedGen record for Disease">Disease</a></span><ul><li><span class="TLline"><a href="/medgen/311052" ref="tree=MeSH" title="MedGen record for Non-Neoplastic Disorder">Non-Neoplastic Disorder</a></span><ul><li><span class="TLline"><a href="/medgen/317955" ref="tree=MeSH" title="MedGen record for Non-Neoplastic Disorder by Special Category">Non-Neoplastic Disorder by Special Category</a></span><ul><li><span class="TLline"><a href="/medgen/354119" ref="tree=MeSH" title="MedGen record for Rare Non-Neoplastic Disorder">Rare Non-Neoplastic Disorder</a></span><ul><li><span class="matched_ds">Macrothrombocytopenia and granulocyte inclusions with or without nephritis or sensorineural hearing loss</span><ul><li><span class="TLline"><a href="/medgen/97986" ref="tree=MeSH" title="MedGen record for Epstein Syndrome">Epstein Syndrome</a></span></li><li><span class="TLline"><a href="/medgen/96041" ref="tree=MeSH" title="MedGen record for Fechtner Syndrome">Fechtner Syndrome</a></span></li><li><span class="TLline"><a href="/medgen/87410" ref="tree=MeSH" title="MedGen record for May-Hegglin Anomaly">May-Hegglin Anomaly</a></span></li><li><span class="TLline"><a href="/medgen/344306" ref="tree=MeSH" title="MedGen record for MYH9-related disorder">MYH9-related disorder</a></span></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></li></ul></div></div></div></div>
</div>
<div class="portlet mgSection" id="ID_105">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Professional_guidelines">Professional guidelines</h1><a sid="105" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">PubMed<a class="help jig-ncbi-popper" data-jig="ncbipopper" href="#guidelinesHelpPM"><img class="pulldown" src="//static.pubmed.gov/portal/portal3rc.fcgi/4223267/img/4204968" /></a></h3>
<div class="nl"><a target="_blank" href="/pubmed/37861061">Updated ACVIM consensus statement on leptospirosis in dogs.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Sykes JE,
Francey T,
Schuller S,
Stoddard RA,
Cowgill LD,
Moore GE</span><br />
<span class="medgenPMjournal">J Vet Intern Med</span>
2023 Nov-Dec;37(6):1966-1982.
Epub 2023 Oct 20
doi: 10.1111/jvim.16903.
<span class="bold">PMID: </span><a href="/pubmed/37861061" target="_blank">37861061</a><a href="/pmc/articles/PMC10658540" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/31369359">Clinical Practice Guideline: Sudden Hearing Loss (Update).</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Chandrasekhar SS,
Tsai Do BS,
Schwartz SR,
Bontempo LJ,
Faucett EA,
Finestone SA,
Hollingsworth DB,
Kelley DM,
Kmucha ST,
Moonis G,
Poling GL,
Roberts JK,
Stachler RJ,
Zeitler DM,
Corrigan MD,
Nnacheta LC,
Satterfield L</span><br />
<span class="medgenPMjournal">Otolaryngol Head Neck Surg</span>
2019 Aug;161(1_suppl):S1-S45.
doi: 10.1177/0194599819859885.
<span class="bold">PMID: </span><a href="/pubmed/31369359" target="_blank">31369359</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30879080">European consensus-based recommendations for diagnosis and treatment of immunoglobulin A vasculitis-the SHARE initiative.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Ozen S,
Marks SD,
Brogan P,
Groot N,
de Graeff N,
Avcin T,
Bader-Meunier B,
Dolezalova P,
Feldman BM,
Kone-Paut I,
Lahdenne P,
McCann L,
Pilkington C,
Ravelli A,
van Royen A,
Uziel Y,
Vastert B,
Wulffraat N,
Kamphuis S,
Beresford MW</span><br />
<span class="medgenPMjournal">Rheumatology (Oxford)</span>
2019 Sep 1;58(9):1607-1616.
doi: 10.1093/rheumatology/kez041.
<span class="bold">PMID: </span><a href="/pubmed/30879080" target="_blank">30879080</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">See all (3799)</a></div></div>
</div>
<div class="display-none help-popup" id="guidelinesHelpPM">These guidelines are articles in PubMed that match specific search criteria developed by MedGen to capture the most relevant practice guidelines. This list may not be comprehensive and may include broader topics as well. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div><div class="display-none help-popup" id="guidelinesHelpCurated">These guidelines are manually curated by the MedGen team
to supplement articles available in PubMed. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div>
<div class="portlet mgSection" id="ID_103">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_clinical_studies">Recent clinical studies</h1><a sid="103" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><h3 class="subhead">Etiology</h3>
<div class="nl"><a target="_blank" href="/pubmed/36470008">COVID-19 and transtympanic injections for sudden sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Adams JK,
Marinelli JP,
Travis,
Newberry R,
Spear SA,
Erbele ID</span><br />
<span class="medgenPMjournal">Am J Otolaryngol</span>
2023 Mar-Apr;44(2):103718.
Epub 2022 Nov 30
doi: 10.1016/j.amjoto.2022.103718.
<span class="bold">PMID: </span><a href="/pubmed/36470008" target="_blank">36470008</a><a href="/pmc/articles/PMC9710149" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/34384902">Diabetes mellitus and hearing loss: A review.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Samocha-Bonet D,
Wu B,
Ryugo DK</span><br />
<span class="medgenPMjournal">Ageing Res Rev</span>
2021 Nov;71:101423.
Epub 2021 Aug 9
doi: 10.1016/j.arr.2021.101423.
<span class="bold">PMID: </span><a href="/pubmed/34384902" target="_blank">34384902</a></div>
<div class="nl"><a target="_blank" href="/pubmed/31714154">Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Young YH</span><br />
<span class="medgenPMjournal">Int J Audiol</span>
2020 Apr;59(4):243-253.
Epub 2019 Nov 12
doi: 10.1080/14992027.2019.1689432.
<span class="bold">PMID: </span><a href="/pubmed/31714154" target="_blank">31714154</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28457158">"I Hear You".</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Blacker CJ</span><br />
<span class="medgenPMjournal">Am J Psychiatry</span>
2017 May 1;174(5):419-420.
doi: 10.1176/appi.ajp.2017.17020153.
<span class="bold">PMID: </span><a href="/pubmed/28457158" target="_blank">28457158</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21606048">Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kuhn M,
Heman-Ackah SE,
Shaikh JA,
Roehm PC</span><br />
<span class="medgenPMjournal">Trends Amplif</span>
2011 Sep;15(3):91-105.
Epub 2011 May 22
doi: 10.1177/1084713811408349.
<span class="bold">PMID: </span><a href="/pubmed/21606048" target="_blank">21606048</a><a href="/pmc/articles/PMC4040829" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss%22%20AND%20Etiology%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (29192)</a></div><h3 class="subhead">Diagnosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/35337535">Congenital Sensorineural Hearing Loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Shave S,
Botti C,
Kwong K</span><br />
<span class="medgenPMjournal">Pediatr Clin North Am</span>
2022 Apr;69(2):221-234.
doi: 10.1016/j.pcl.2021.12.006.
<span class="bold">PMID: </span><a href="/pubmed/35337535" target="_blank">35337535</a></div>
<div class="nl"><a target="_blank" href="/pubmed/33452100">Sudden Sensorineural Hearing Loss: A Diagnostic and Therapeutic Emergency.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Prince ADP,
Stucken EZ</span><br />
<span class="medgenPMjournal">J Am Board Fam Med</span>
2021 Jan-Feb;34(1):216-223.
doi: 10.3122/jabfm.2021.01.200199.
<span class="bold">PMID: </span><a href="/pubmed/33452100" target="_blank">33452100</a></div>
<div class="nl"><a target="_blank" href="/pubmed/31714154">Contemporary review of the causes and differential diagnosis of sudden sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Young YH</span><br />
<span class="medgenPMjournal">Int J Audiol</span>
2020 Apr;59(4):243-253.
Epub 2019 Nov 12
doi: 10.1080/14992027.2019.1689432.
<span class="bold">PMID: </span><a href="/pubmed/31714154" target="_blank">31714154</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30408187">What defines asymmetric sensorineural hearing loss?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Durakovic N,
Valente M,
Goebel JA,
Wick CC</span><br />
<span class="medgenPMjournal">Laryngoscope</span>
2019 May;129(5):1023-1024.
Epub 2018 Nov 8
doi: 10.1002/lary.27504.
<span class="bold">PMID: </span><a href="/pubmed/30408187" target="_blank">30408187</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21606048">Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kuhn M,
Heman-Ackah SE,
Shaikh JA,
Roehm PC</span><br />
<span class="medgenPMjournal">Trends Amplif</span>
2011 Sep;15(3):91-105.
Epub 2011 May 22
doi: 10.1177/1084713811408349.
<span class="bold">PMID: </span><a href="/pubmed/21606048" target="_blank">21606048</a><a href="/pmc/articles/PMC4040829" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss%22%20AND%20Diagnosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (31839)</a></div><h3 class="subhead">Therapy</h3>
<div class="nl"><a target="_blank" href="/pubmed/37167889">Role of mitochondrial dysfunction and oxidative stress in sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tan WJT,
Song L</span><br />
<span class="medgenPMjournal">Hear Res</span>
2023 Jul;434:108783.
Epub 2023 Apr 29
doi: 10.1016/j.heares.2023.108783.
<span class="bold">PMID: </span><a href="/pubmed/37167889" target="_blank">37167889</a></div>
<div class="nl"><a target="_blank" href="/pubmed/34709348">Hyperbaric Oxygen Therapy for Patients With Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Joshua TG,
Ayub A,
Wijesinghe P,
Nunez DA</span><br />
<span class="medgenPMjournal">JAMA Otolaryngol Head Neck Surg</span>
2022 Jan 1;148(1):5-11.
doi: 10.1001/jamaoto.2021.2685.
<span class="bold">PMID: </span><a href="/pubmed/34709348" target="_blank">34709348</a><a href="/pmc/articles/PMC8554691" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/30093087">Update on consensus on diagnosis and treatment of idiopathic sudden sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Herrera M,
García Berrocal JR,
García Arumí A,
Lavilla MJ,
Plaza G;
Grupo de Trabajo de la Comisión de Audiología de la SEORL</span><br />
<span class="medgenPMjournal">Acta Otorrinolaringol Esp (Engl Ed)</span>
2019 Sep-Oct;70(5):290-300.
Epub 2018 Aug 6
doi: 10.1016/j.otorri.2018.04.010.
<span class="bold">PMID: </span><a href="/pubmed/30093087" target="_blank">30093087</a></div>
<div class="nl"><a target="_blank" href="/pubmed/29396226">International consensus (ICON) on treatment of sudden sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Marx M,
Younes E,
Chandrasekhar SS,
Ito J,
Plontke S,
O'Leary S,
Sterkers O</span><br />
<span class="medgenPMjournal">Eur Ann Otorhinolaryngol Head Neck Dis</span>
2018 Feb;135(1S):S23-S28.
Epub 2018 Feb 1
doi: 10.1016/j.anorl.2017.12.011.
<span class="bold">PMID: </span><a href="/pubmed/29396226" target="_blank">29396226</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21606048">Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kuhn M,
Heman-Ackah SE,
Shaikh JA,
Roehm PC</span><br />
<span class="medgenPMjournal">Trends Amplif</span>
2011 Sep;15(3):91-105.
Epub 2011 May 22
doi: 10.1177/1084713811408349.
<span class="bold">PMID: </span><a href="/pubmed/21606048" target="_blank">21606048</a><a href="/pmc/articles/PMC4040829" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss%22%20AND%20Therapy%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (23150)</a></div><h3 class="subhead">Prognosis</h3>
<div class="nl"><a target="_blank" href="/pubmed/29931029">Assessment of Spontaneous Recovery Rates in Patients With Idiopathic Sudden Sensorineural Hearing Loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Bayoumy AB,
van der Veen EL,
Alexander de Ru J</span><br />
<span class="medgenPMjournal">JAMA Otolaryngol Head Neck Surg</span>
2018 Aug 1;144(8):655-656.
doi: 10.1001/jamaoto.2018.1072.
<span class="bold">PMID: </span><a href="/pubmed/29931029" target="_blank">29931029</a></div>
<div class="nl"><a target="_blank" href="/pubmed/28542688">Bilateral Hearing and Vestibular Loss in a Patient With Untreated Chronic Myeloid Leukemia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tang L,
Schubert M,
Marlowe A,
Weinreich H</span><br />
<span class="medgenPMjournal">JAMA Otolaryngol Head Neck Surg</span>
2017 Jul 1;143(7):736-737.
doi: 10.1001/jamaoto.2017.0283.
<span class="bold">PMID: </span><a href="/pubmed/28542688" target="_blank">28542688</a></div>
<div class="nl"><a target="_blank" href="/pubmed/24643028">Otosyphilis: a neglected diagnosis?</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Phillips JS,
Gaunt A,
Phillips DR</span><br />
<span class="medgenPMjournal">Otol Neurotol</span>
2014 Jul;35(6):1011-3.
doi: 10.1097/MAO.0000000000000361.
<span class="bold">PMID: </span><a href="/pubmed/24643028" target="_blank">24643028</a></div>
<div class="nl"><a target="_blank" href="/pubmed/19487429">Hearing loss in children.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Gifford KA,
Holmes MG,
Bernstein HH</span><br />
<span class="medgenPMjournal">Pediatr Rev</span>
2009 Jun;30(6):207-15; quiz 216.
doi: 10.1542/pir.30-6-207.
<span class="bold">PMID: </span><a href="/pubmed/19487429" target="_blank">19487429</a></div>
<div class="nl"><a target="_blank" href="/pubmed/18217503">Autoimmune sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">McCabe BF</span><br />
<span class="medgenPMjournal">Ann Otol Rhinol Laryngol</span>
2007 Dec;116(12):875-9.
<span class="bold">PMID: </span><a href="/pubmed/18217503" target="_blank">18217503</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss%22%20AND%20Prognosis%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (18605)</a></div><h3 class="subhead">Clinical prediction guides</h3>
<div class="nl"><a target="_blank" href="/pubmed/37804017">Hearing Loss and the Affecting Factors in Patients with Fibromyalgia.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Caglar Yagci H,
Ozdamar OI,
Ertugrul O,
Salman CT,
Yagci I</span><br />
<span class="medgenPMjournal">J Coll Physicians Surg Pak</span>
2023 Oct;33(10):1124-1129.
doi: 10.29271/jcpsp.2023.10.1124.
<span class="bold">PMID: </span><a href="/pubmed/37804017" target="_blank">37804017</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35247189">Sensorineural hearing loss and ulcerative colitis in remission.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Bodh V,
Kumar R,
Sharma R,
Sharma B,
Sachdeva A,
Azad R</span><br />
<span class="medgenPMjournal">Indian J Gastroenterol</span>
2022 Apr;41(2):143-148.
Epub 2022 Mar 5
doi: 10.1007/s12664-021-01216-1.
<span class="bold">PMID: </span><a href="/pubmed/35247189" target="_blank">35247189</a></div>
<div class="nl"><a target="_blank" href="/pubmed/34032273">Clinical Pharmacogenetics Implementation Consortium Guideline for the Use of Aminoglycosides Based on MT-RNR1 Genotype.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">McDermott JH,
Wolf J,
Hoshitsuki K,
Huddart R,
Caudle KE,
Whirl-Carrillo M,
Steyger PS,
Smith RJH,
Cody N,
Rodriguez-Antona C,
Klein TE,
Newman WG</span><br />
<span class="medgenPMjournal">Clin Pharmacol Ther</span>
2022 Feb;111(2):366-372.
Epub 2021 Jun 20
doi: 10.1002/cpt.2309.
<span class="bold">PMID: </span><a href="/pubmed/34032273" target="_blank">34032273</a><a href="/pmc/articles/PMC8613315" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/27251009">New Web-Based Tool for Generating Scattergrams to Report Hearing Results.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Oghalai JS,
Jackler RK</span><br />
<span class="medgenPMjournal">Otolaryngol Head Neck Surg</span>
2016 Jun;154(6):981.
doi: 10.1177/0194599816638314.
<span class="bold">PMID: </span><a href="/pubmed/27251009" target="_blank">27251009</a></div>
<div class="nl"><a target="_blank" href="/pubmed/21606048">Sudden sensorineural hearing loss: a review of diagnosis, treatment, and prognosis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Kuhn M,
Heman-Ackah SE,
Shaikh JA,
Roehm PC</span><br />
<span class="medgenPMjournal">Trends Amplif</span>
2011 Sep;15(3):91-105.
Epub 2011 May 22
doi: 10.1177/1084713811408349.
<span class="bold">PMID: </span><a href="/pubmed/21606048" target="_blank">21606048</a><a href="/pmc/articles/PMC4040829" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss%22%20AND%20Clinical%20prediction%20guides%2Fbroad%5Bfilter%5D%20%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (19152)</a></div></div>
</div>
<div class="portlet mgSection" id="ID_104">
<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Recent_systematic_reviews">Recent systematic reviews</h1><a sid="104" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln">
<div class="nl"><a target="_blank" href="/pubmed/35867413">Intratympanic corticosteroids for sudden sensorineural hearing loss.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Plontke SK,
Meisner C,
Agrawal S,
Cayé-Thomasen P,
Galbraith K,
Mikulec AA,
Parnes L,
Premakumar Y,
Reiber J,
Schilder AG,
Liebau A</span><br />
<span class="medgenPMjournal">Cochrane Database Syst Rev</span>
2022 Jul 22;7(7):CD008080.
doi: 10.1002/14651858.CD008080.pub2.
<span class="bold">PMID: </span><a href="/pubmed/35867413" target="_blank">35867413</a><a href="/pmc/articles/PMC9307133" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/35103928">A systematic review and meta-analysis of risk factors and treatment choices in emphysematous pyelonephritis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Desai R,
Batura D</span><br />
<span class="medgenPMjournal">Int Urol Nephrol</span>
2022 Apr;54(4):717-736.
Epub 2022 Feb 1
doi: 10.1007/s11255-022-03131-6.
<span class="bold">PMID: </span><a href="/pubmed/35103928" target="_blank">35103928</a></div>
<div class="nl"><a target="_blank" href="/pubmed/34709348">Hyperbaric Oxygen Therapy for Patients With Sudden Sensorineural Hearing Loss: A Systematic Review and Meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Joshua TG,
Ayub A,
Wijesinghe P,
Nunez DA</span><br />
<span class="medgenPMjournal">JAMA Otolaryngol Head Neck Surg</span>
2022 Jan 1;148(1):5-11.
doi: 10.1001/jamaoto.2021.2685.
<span class="bold">PMID: </span><a href="/pubmed/34709348" target="_blank">34709348</a><a href="/pmc/articles/PMC8554691" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/29222544">Association of Age-Related Hearing Loss With Cognitive Function, Cognitive Impairment, and Dementia: A Systematic Review and Meta-analysis.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Loughrey DG,
Kelly ME,
Kelley GA,
Brennan S,
Lawlor BA</span><br />
<span class="medgenPMjournal">JAMA Otolaryngol Head Neck Surg</span>
2018 Feb 1;144(2):115-126.
doi: 10.1001/jamaoto.2017.2513.
<span class="bold">PMID: </span><a href="/pubmed/29222544" target="_blank">29222544</a><a href="/pmc/articles/PMC5824986" target="_blank" class="PubMedFree">Free PMC Article</a></div>
<div class="nl"><a target="_blank" href="/pubmed/25778500">Diagnosis, Monitoring, and Treatment of Systemic Lupus Erythematosus: A Systematic Review of Clinical Practice Guidelines.</a></div>
<div class="portlet_content ln"><span class="medgenPMauthor">Tunnicliffe DJ,
Singh-Grewal D,
Kim S,
Craig JC,
Tong A</span><br />
<span class="medgenPMjournal">Arthritis Care Res (Hoboken)</span>
2015 Oct;67(10):1440-52.
doi: 10.1002/acr.22591.
<span class="bold">PMID: </span><a href="/pubmed/25778500" target="_blank">25778500</a></div>
<div><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=%22Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss%22%20AND%20systematic%5Bsb%5D%20AND%20%22english%20and%20humans%22%5Bfilter%5D%20NOT%20comment%5BPTYP%5D%20NOT%20letter%5BPTYP%5D" title="PubMed search">See all (818)</a></div></div>
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<div class="portlet_head mgSectionHead ui-widget-header"><h1 class="nl" id="Table_of_contents">Table of contents</h1><a sid="113" href="#" class="portlet_shutter" title="Show/hide content"></a></div>
<div class="portlet_content ln"><ul id="my-toc"></ul></div>
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<div class="portlet_content ln"><ul><li><a href="/gtr/tests?term=C5200934%5bDISCUI%5d&amp;filter=method%3A2%5F8" target="_blank">Deletion/duplication analysis (47)</a></li>
<li><a href="/gtr/tests?term=C5200934%5bDISCUI%5d&amp;filter=method%3A2%5F9" target="_blank">Sequence analysis of select exons (2)</a></li>
<li><a href="/gtr/tests?term=C5200934%5bDISCUI%5d&amp;filter=method%3A2%5F7" target="_blank">Sequence analysis of the entire coding region (67)</a></li>
<li><a href="/gtr/tests?term=C5200934%5bDISCUI%5d&amp;filter=method%3A2%5F19" target="_blank">Targeted variant analysis (15)</a></li>
<li class="portletSeeAll portletSeeAllPad"><total><a href="/gtr/tests?term=C5200934%5bDISCUI%5d" target="_blank">See all (74)</a></total></li>
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<div class="portlet_content ln"><ul><li><a href="https://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=155100" target="_blank">OMIM</a></li><li><a href="http://www.orpha.net/consor/cgi-bin/OC_Exp.php?Expert=182050" target="_blank">Orphanet</a></li><li><a href="https://clinicaltrials.gov/search?cond=Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss" target="_blank">ClinicalTrials.gov</a></li></ul></div>
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<div class="portlet_content ln"><ul class="a_poppers"><li><a target="_blank" href="https://pubmed.ncbi.nlm.nih.gov/?term=(macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss)%20AND%20(%22english%20and%20humans%22%5BFilter%5D)%20AND%20(%20(%22practice%20guideline%22%5BFilter%5D)%20OR%20(practice*%5Btitl%5D%20AND%20(guideline%5Btitl%5D%20OR%20parameter%5Btitl%5D%20OR%20resource%5Btitl%5D%20OR%20bulletin%5Btitl%5D%20OR%20best%5Btitl%5D))%20OR%20(genetic*%5Btitl%5D%20AND%20(evaluation%5Btitl%5D%20OR%20counseling%5Btitl%5D%20OR%20screening%5Btitl%5D%20OR%20test*%5Btitl%5D))%20OR%20(clinical%5Btitl%5D%20AND%20((expert%5Btitl%5D%20AND%20consensus%5Btitl%5D)%20OR%20utility%5Btitl%5D%20OR%20guideline*%5Btitl%5D))%20OR%20(management%5Btitl%5D%20AND%20(clinical%5Btitl%5D%20OR%20diagnos*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20pain%5Btitl%5D%20OR%20surveillance%5Btitl%5D%20OR%20emergency%5Btitl%5D%20OR%20guideline*%5Btitl%5D%20OR%20therap*))%20OR%20(treatment%5Btitl%5D%20AND%20((evaluation%5Btitl%5D%20AND%20diagnosis%5Btitl%5D)%20OR%20(assessment%5Btitl%5D%20AND%20prevention%5Btitl%5D)%20OR%20therap*))%20OR%20(Diagnos*%5Btitl%5D%20AND%20(prenatal%5Btitl%5D%20OR%20treatment%5Btitl%5D%20OR%20follow-up%5Btitl%5D%20OR%20statement%5Btitl%5D%20OR%20criteria%5Btitl%5D%20OR%20newborn%5Btitl%5D%20OR%20differential%5Btitl%5D%20OR%20neonatal%5Btitl%5D%20OR%20neonate%5Btitl%5D))%20OR%20(guideline*%5Btitl%5D%20AND%20(pharmacogenetic*%5Btitl%5D%20OR%20recommendation%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20evidence-based%5Btitl%5D%20OR%20consensus%5Btitl%5D%20OR%20(technical%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20(molecular%5Btitl%5D%20AND%20testing%5Btitl%5D)))%20OR%20(risk%5Btitl%5D%20AND%20assessment%5Btitl%5D)%20OR%20(recommendation*%5Btitl%5D%20AND%20(statement%5Btitl%5D%20OR%20Evidence-based%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(care%20AND%20((Patient%5Btitl%5D%20AND%20standard*%5Btitl%5D)%20OR%20primary%5Btitl%5D%20OR%20psychosocial%5Btitl%5D))%20OR%20(Health%5Btitl%5D%20AND%20supervision%5Btitl%5D)%20OR%20(statement%5Btitl%5D%20AND%20(policy%5Btitl%5D%20OR%20position%5Btitl%5D%20OR%20Consensus%5Btitl%5D))%20OR%20(pharmacogenetics%5Btitl%5D%20AND%20(Dosing%5Btitl%5D%20OR%20therap*%5Btitl%5D%20OR%20genotype*%5Btitl%5D%20OR%20drug*%5Btitl%5D))%20OR%20(Chemotherapy%5Btitl%5D%20AND%20decision*%5Btitl%5D)%20OR%20(screening%5Btitl%5D%20AND%20(newborn%5Btitl%5D%20OR%20neonat*%5Btitl%5D%20OR%20detection%5Btitl%5D%20OR%20diagnos*%5Btitl%5D))%20OR%20(criteria%5Btitl%5D%20OR%20genotype*%5Btitl%5D)%20)%20NOT%20(%22Case%20reports%22%5BPublication%20type%5D%20OR%20%22clinical%20study%22%5BPublication%20Type%5D%20OR%20%22randomized%20controlled%20trial%22%5BPublication%20Type%5D)" title="PubMed search">PubMed</a><div class="help-popup">See practice and clinical guidelines in PubMed. The search results may include broader topics and may not capture all published guidelines. See the <a href="/medgen/docs/faq/" title="Frequently asked questions" target="_blank">FAQ</a> for details.</div></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="http://www.omim.org/search?index=entry&amp;start=1&amp;limit=10&amp;sort=score%20desc&amp;field=number&amp;search=160775" target="_blank">OMIM</a></li><li><a href="/clinvar/?term=4627[geneid]" target="_blank">View MYH9 variations in ClinVar</a></li><li><a href="/nuccore/226874849" target="_blank">RefSeqGene</a></li><li><a href="https://catalog.coriell.org/Search?q=155100" target="_blank">Coriell Institute for Medical Research</a></li></ul></div>
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<div class="portlet_content ln"><ul><li><a href="http://www.diseaseinfosearch.org/MYH9+related+thrombocytopenia/5026" target="_blank">Genetic Alliance</a></li><li><a href="http://www.diseaseinfosearch.org/Macrothrombocytopenia+progressive+deafness/4400" target="_blank">Genetic Alliance</a></li><li><a href="https://www.malacards.org/card/macrothrombocytopenia_and_granulocyte_inclusions_with_or_without_nephritis_or_sensorineural_hearing_loss" target="_blank">MalaCards</a></li><li><a href="https://vsearch.nlm.nih.gov/vivisimo/cgi-bin/query-meta?v:project=medlineplus&amp;query=Macrothrombocytopenia%20and%20granulocyte%20inclusions%20with%20or%20without%20nephritis%20or%20sensorineural%20hearing%20loss" target="_blank">MedlinePlus</a></li><li><a href="https://medlineplus.gov/genetics/condition/myh9-related-disorder" target="_blank">MedlinePlusGenetics (GHR)</a></li><li><a href="https://rarediseases.info.nih.gov/diseases/180/disease" target="_blank">NCATS Office of Rare Diseases Research (GARD)</a></li></ul></div>
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