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 226L2
2024/10 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。
- 2026-09Refractory Iron-deficiency anemia and intermittent melena in phenotypic type 2 Glanzmann thrombasthenia: a diagnostic challenge
- 2026-09开放获取A Boolean Seven-Layer Platelet Decision Model Models Consistently the Logic and Semiquantitatively the Dynamics of Platelet Activation and Inhibition
- 2026-09First Report of Left Atrial Appendage Closure in a Patient With Glanzmann Thrombasthenia
- 2026-09综述开放获取Synergistic Regulation of Tumor Immunity by Integrins and Lectins: From Molecular Mechanisms to Dual-Targeted Therapy
- 2026-09开放获取Achieving Faster Bleeding Disorder Treatment in the Emergency Department: A Quality Improvement Initiative
- 2026-09Reduced platelet formation associated with serine metabolic dysregulation in integrin αIIbβ3-deficient megakaryocytes
- 2026-08病例报告开放获取A rare case of multiple bladder hemangiomas associated with Glanzmann thrombasthenia: Successful control of refractory hematuria by super selective vesical artery embolization
- 2026-08开放获取Pregnancy outcomes among women with inherited bleeding disorders: A matched case-control study
- 2026-08综述开放获取Lipid-Based Delivery Systems for Therapeutic Glycoproteins: Current Advances, Challenges, and Future Perspectives
- 2026-08综述开放获取Thromborepair: the tissue repair partner to thromboinflammation
- 2026-07Novel/Recurrent Variants in Pakistani Glanzmann Thrombasthenia and Glanzmann-like Bleeding Diathesis: Insights from NGS Analysis
- 2026-07开放获取Thrombosis 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综述开放获取Dietary bioactive compounds targeting insulin resistance: mechanisms and preventive potential
- 2026-07综述[Hereditary disorders of hemostasis in obstetrics 1/2-Anesthesiological aspects of primary hemostasis]
- 2026-07综述开放获取Beyond Hemostasis: Platelets' Multifaceted Functions in Immune Responses
- 2026-07综述Methodological Considerations in Platelet Flow Cytometric Studies
- 2026-07开放获取Dual hemostatic defects in Glanzmann thrombasthenia and von Willebrand disease: functional characterization of ITGA2B and dominant-negative von Willebrand factor variants
- 2026-07开放获取Long-term outcomes and GVHD in allogeneic hematopoietic cell transplantation abroad: a 14-year UAE multi-center cohort
- 2026-07开放获取Transcriptomics-based identification of shared biomarkers across type 2 diabetes, mild cognitive impairment, and uric acid metabolism
- 2026-07综述Testing for Non-Severe Heritable Platelet Function Disorders
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。
尚未获批的在研药物(4 项)
这些药已被欧盟或美国的监管机构认定为罕见病用药(英文 orphan drug designation,中文行业里通称「孤儿药资格」——「孤儿」说的是这类药市场太小、没有厂商愿意认领,不是在说病人)。但这只是一种监管身份:意味着监管机构给予研发上的激励,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)的药品与罕见病用药资格公开导出表,以及美国 FDA 的罕见病用药资格数据库(Orphan Drug Product Designation Database)。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)