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Syndrome reference sheet
Generated 12 Oct 2026
Hematology · Hematology / Platelet disorders

Gray platelet syndrome

Also known as: Alpha-granule deficiency

Macrothrombocytopenia with absent platelet alpha-granules.

Medical specialty
Hematology
Subspecialty
Hematology / Platelet disorders
Sex & age distribution
Male: affected; Female: affected equally; Children: yes
Gene(s) involved
GFI1B, NBEAL2

Etiology & mechanism

Defective alpha granule biogenesis.

Gene(s) involved (2)

GFI1BNBEAL2

Symptoms & signs (5)

gray platelets on smearmacrothrombocytopeniamild bleedingmyelofibrosissplenomegaly
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