Jordans' anomaly
Editor-In-Chief: Prab R Tumpati, MD
Obesity, Sleep & Internal medicine
Founder, WikiMD Wellnesspedia &
W8MD medical weight loss NYC and sleep center NYC
| Jordans' anomaly | |
|---|---|
| Synonyms | Neutral lipid storage disease with ichthyosis |
| Pronounce | N/A |
| Specialty | N/A |
| Symptoms | Ichthyosis, lipid vacuoles in leukocytes |
| Complications | Hepatomegaly, splenomegaly, myopathy |
| Onset | Congenital |
| Duration | Lifelong |
| Types | N/A |
| Causes | Genetic mutation in the ABHD5 gene |
| Risks | Family history |
| Diagnosis | Blood smear, genetic testing |
| Differential diagnosis | Chanarin-Dorfman syndrome, other lipid storage disorders |
| Prevention | N/A |
| Treatment | Symptomatic management, dietary modifications |
| Medication | None specific |
| Prognosis | Variable, depends on severity |
| Frequency | Rare |
| Deaths | N/A |
Jordan's Anomaly is a rare hematological disorder characterized by the presence of abnormally large platelets in the blood and a mild to moderate reduction in platelet count, a condition known as macrothrombocytopenia. This anomaly is often discovered incidentally during routine blood tests and is usually asymptomatic, although it may be associated with a slightly increased risk of bleeding.
Etiology
The exact cause of Jordan's Anomaly is not well understood, but it is believed to be primarily genetic. It has been observed to occur in families, suggesting a hereditary component. However, specific genetic mutations or patterns have not been fully elucidated.
Diagnosis
Diagnosis of Jordan's Anomaly is primarily based on blood tests, particularly a Complete Blood Count (CBC) with a platelet count and blood smear examination. The hallmark of the condition is the presence of large platelets on the blood smear, often with a mild decrease in the overall number of platelets. Further hematological tests may be conducted to rule out other causes of macrothrombocytopenia.
Clinical Significance
In most cases, Jordan's Anomaly is an incidental finding and does not lead to significant health problems. However, individuals with this condition may have a slightly increased risk of bleeding, especially after surgery or injury. It is important for patients diagnosed with Jordan's Anomaly to inform their healthcare providers of their condition before undergoing any medical procedures.
Management
Since Jordan's Anomaly is typically asymptomatic and does not significantly affect health, specific treatment is usually not required. Management focuses on monitoring the condition and addressing any complications, such as bleeding, should they arise. Patients are advised to avoid medications that can further increase bleeding risk, such as nonsteroidal anti-inflammatory drugs (NSAIDs).
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Contributors: Prab R. Tumpati, MD