Profound muscle weakness and respiratory failure soon after birth mark this form, which follows autosomal recessive inheritance and is confirmed by GBE1 gene testing.
One-sided tremor, rigidity and slowed movement with wasting on the same side mark HPHS; autopsy findings show neuronal loss and Lewy bodies in the substantia nigra.
Caused by HBB gene mutations, hemoglobin E/beta thalassemia brings anemia and fatigue. At-risk couples can turn to carrier screening, PGT, CVS or amniocentesis.
Unstable transthyretin proteins build up in the heart and nerves; next-generation sequencing of the TTR gene identifies hereditary ATTR amyloidosis without a biopsy.
Spectrin, ankyrin and protein 4.1 mutations make red blood cells elliptical; hereditary elliptocytosis can range from no symptoms to anemia, jaundice and gallstones.
Tumors of the adrenal glands and nerve pathways can cause hypertension and palpitations in HPGL; among SDH gene mutations, SDHB carries a higher risk of malignancy.
Mutations in BRCA1, BRCA2 and STK11 raise lifetime ovarian cancer risk. Testing identifies carriers, guides surveillance choices and informs use of PARP inhibitors.
Lung scarring is the main threat in this form of HPS, usually linked to HPS1 and common in people of Puerto Rican descent. Nintedanib may be used before transplant.