Table 2.

Clinical manifestations of the various Alport-like syndromes

Hyper-cholesterolImpaired liver functionEye abnormalitiesDeafnessNephropathyInclusion bodiesMacro-thromboMutated gene/lociInheritanceSyndrome
− − − − COL4A5 x-Linked Alport 
       COL4A6   
− − − − COL4A3 Autosomal Alport 
       COL4A4 recessive  
− − − − COL4A3(?) Autosomal Alport 
       COL4A4(?) dominant  
− − − − − +* Chr.22 q12- Autosomal May- 
       13 dominant Hegglin 
− − − Chr.22 q11- Autosomal Epstein 
       13 dominant  
+* Chr.22 q11- Autosomal Fechtner 
       13 dominant  
− − − − − +* Chr.22 q11- Autosomal Sebastian 
       13 dominant  
Hyper-cholesterolImpaired liver functionEye abnormalitiesDeafnessNephropathyInclusion bodiesMacro-thromboMutated gene/lociInheritanceSyndrome
− − − − COL4A5 x-Linked Alport 
       COL4A6   
− − − − COL4A3 Autosomal Alport 
       COL4A4 recessive  
− − − − COL4A3(?) Autosomal Alport 
       COL4A4(?) dominant  
− − − − − +* Chr.22 q12- Autosomal May- 
       13 dominant Hegglin 
− − − Chr.22 q11- Autosomal Epstein 
       13 dominant  
+* Chr.22 q11- Autosomal Fechtner 
       13 dominant  
− − − − − +* Chr.22 q11- Autosomal Sebastian 
       13 dominant  
*

The ultrastructure of the inclusion bodies in Fechtner syndrome resembles those in Sebastian syndrome and is different from those in the May-Hegglin anomaly.

Macrothrombo = macrothrombocytopenia.

The 3 families with Fechtner syndrome differ slightly from each other, as described in the text.

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