Glanzmann血小板减少症
Glanzmann thrombasthenia
定义 英文原文(暂无中文)
Glanzmann thrombasthenia (GT) is a bleeding syndrome characterized by spontaneous mucocutaneous bleeding and an exaggerated response to trauma due to a constitutional thrombocytopenia.
基本事实
- 遗传方式
- 常染色体隐性
- 发病年龄
- 婴儿期、新生儿期
相关基因 2
| 基因 | 名称 | 关联类型 |
|---|---|---|
| ITGA2B | integrin subunit alpha 2b | Disease-causing germline mutation(s) in |
| ITGB3 | integrin subunit beta 3 | Disease-causing germline mutation(s) in |
临床表型 20
极常见 99–80%2
- 出血时间延长 HP:0003010
- 复发性自发鼻衄 HP:0004406
常见 79–30%4
- 瘀斑易感性 HP:0000978
- 牙龈出血 HP:0000225
- 手术后出血时间延长 HP:0004846
- 包皮环切术后出血时间延长 HP:0030137
偶见 29–5%7
- 瘀斑 HP:0031364
- 胃肠道出血 HP:0002239
- 肉眼血尿 HP:0012587
- 月经过多 HP:0400008
- 月经过多症 HP:0000132
- 紫癜 HP:0000979
- 自发性血肿 HP:0007420
罕见 <4–1%1
- 瑞斯托菌素诱导的血小板聚集受损 HP:0011871
排除 0%6
- ADP诱导的血小板聚集障碍 HP:0004866
- 花生四烯酸诱导的血小板聚集受损 HP:0011870
- 胶原相关肽诱导的血小板凝集受损 HP:0031128
- 肾上腺素诱导的血小板聚集障碍 HP:0008148
- 凝血酶诱导的血小板聚集障碍 HP:0011872
- 血栓素A2激动剂诱导的血小板聚集受损 HP:0011894
近两年的全球研究 205L2
2024/08 起在 Europe PMC 检索所得,按发表时间倒序显示最近 20 篇。标题未译成中文——自动翻译需要接入 LLM 服务,尚未引入。
- 2026-07Novel/Recurrent Variants in Pakistani Glanzmann Thrombasthenia and Glanzmann-like Bleeding Diathesis: Insights from NGS Analysis
- 2026-07Thrombosis in rare bleeding disorders: a bleeding phenotype does not fully preclude thrombotic risk- frequency, clinical contexts, and management in a large Iranian cohort
- 2026-07综述[Hereditary disorders of hemostasis in obstetrics 1/2-Anesthesiological aspects of primary hemostasis]
- 2026-07综述Methodological Considerations in Platelet Flow Cytometric Studies
- 2026-07综述Testing for Non-Severe Heritable Platelet Function Disorders
- 2026-06病例报告Platelet Function Disorders: Glanzmann Thrombasthenia and Type 2 Von Willebrand Disease
- 2026-06Peri-operative anaesthetic management of a patient with Glanzmann thrombasthenia undergoing laparoscopic ovarian cystectomy
- 2026-06Genetic characterization of Glanzmann thrombasthenia: insights from novel igta2b mutations in a Tunisian patient cohort
- 2026-05Reduced platelet formation associated with serine metabolic dysregulation in integrin αIIbβ3-deficient megakaryocytes
- 2026-05综述开放获取The Molecular Pathology of Non-Malignant Haematological Disease
- 2026-05Bleeding Phenotypes in Inherited Platelet Function Disorders: Insights From the ATHNdataset
- 2026-05病例报告开放获取Glanzmann Thrombasthenia in a 14-Month-Old Infant: A Rare Platelet Function Disorder Presenting With Persistent Mucocutaneous Bleeding
- 2026-05综述开放获取Heavy Menstrual Bleeding in the Gynecology Clinic: A Call for Awareness and Standardized Screening for Underlying Bleeding Disorders
- 2026-05Navigating the Diagnostic and Clinical Spectrum of Thrombocytopenia and Thrombocytopathy: Lessons from a Case Series
- 2026-05Efficacy and safety of recombinant activated factor VII for secondary prophylaxis in patients with Glanzmann thrombasthenia
- 2026-05病例报告开放获取Identification of an F13A1 frameshift variant associated with factor XIII deficiency in a Coonhound dog with severe coagulopathy
- 2026-05开放获取A monoclonal antibody to platelet αIIbβ3 that inhibits protein disulfide isomerase binding and platelet aggregation
- 2026-04综述开放获取Somatostatin and Its Analogues as Second-Line Treatments in Non-Neoplastic Conditions
- 2026-04开放获取Beyond carrier frequency: a preliminary multicenter study of simultaneous couple-based comprehensive carrier screening for common and rare genetic disorders
- 2026-04病例报告开放获取Case Report: Avermectin poisoning-associated hemolytic uremic syndrome
国家医保药品目录中点名本病的药品 1L2
出自《国家基本医疗保险、生育保险和工伤保险药品目录(2025年)》(医保发〔2025〕33号,2026-01-01 起执行)。下列药品在药品名称或限定支付范围里出现了本病的名称。
匹配不到 ≠ 不能报销。目录里只有约一成药品设了限定支付范围,其余按适应症正常使用同样可报销;本区块只能回答「目录有没有点名这个病」,不能回答「这个病有没有药能报销」。各省执行细则、双通道与单独支付范围另有规定,请以当地医保部门口径为准。
- 注射用重组人凝血因子Ⅶa乙类西药限下列患者群体出血的治疗,以及外科手术或有创操作出血的防治:1.凝血因子Ⅷ或Ⅸ的抑制物>5个Bethesda单位(BU)的先天性血友病患者;预计对注射凝血因子Ⅷ或凝血因子Ⅸ,具有高记忆应答的先天性血友病患者;2.获得性血友病患者;3.先天性凝血因子Ⅶ(FⅦ)缺乏症患者;4.具有血小板膜糖蛋白Ⅱb-Ⅲa(GPⅡb-Ⅲa)和/或人白细胞抗原(HLA)抗体和既往或现在对血小板输注无效或不佳的血小板无力症患者。
境外已获批用于本病的药物 0L2
欧盟与美国均未检索到已获批用于本病的药物。
已获孤儿药资格、尚未获批的在研药物(4 项)
孤儿药资格只是一种监管身份——它意味着监管机构认可这是罕见病用药并给予研发激励,不代表这个药已被证明有效,也不代表将来一定能上市。绝大多数最终不会成药。列在这里是为了看清有哪些方向正在被尝试。
- ozisiran欧盟2025-10-20Treatment of Glanzmann thrombasthenia官方记录
- sutacimig欧盟2025-10-20Treatment of Glanzmann thrombasthenia官方记录
- human IgG4 bispecific antibody recognizing factor VIIa and TLT-1美国2024-09-09treatment of Glanzmann thrombasthenia官方记录
- megatemlocel美国2026-03-17treatment of Glanzmann thrombasthenia官方记录
数据来自欧洲药品管理局(EMA)的药品与孤儿药资格公开导出表,以及美国 FDA 孤儿药资格数据库。两边口径不同:欧盟一侧取的是当前状态仍为「已授权」的药品;美国一侧记录的是「曾获批准」这一事实,FDA 的公开表不追踪药物此后是否退市(例如 Relyvrio 于 2024 年撤市,表中仍记为已获批)。请以官方记录页为准。
中国境外的在招试验 5L2
这些试验在中国没有研究中心,通常无法直接报名——入组一般要求在当地居住并接受随访。列在这里是因为它另有用处:看清楚全世界正在试哪些药、做到了哪一期、由谁在做。把药名和 NCT 编号记下来去问主治医生,或据此进一步查该药是否已在境外获批、是否有拓展性用药(expanded access)通道。
共 5 项。
- 招募中NCT07136857Eptacog Beta in Glanzmann's (HeT_LFB-Strength-Study_FID531)美国
- 招募中NCT06820515ATHNdataset Registry美国
- 尚未开始招募NCT06204042Multinational Glanzmann Study
- 招募中NCT04119908Videomicroscopy for the Prediction of Bleeding in Constitutional Haemorrhagic Diseases法国
- 招募中NCT00230165The Genetics and Functional Basis of Inherited Platelet, White Blood Cell, Red Blood Cell, and Blood Clotting Disorders.美国
外部标识与链接
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本页数据来源
- 疾病定义、同义词、基因、表型、流行病学:Orphanet(CC BY 4.0)
- 中文病名:Orphanet 中文包,冻结于 2020-06-01
- 表型中文标签:HPO 简体中文翻译(CHPO 上游成果)