title: Hermansky-Pudlak syndrome in a pregnant patient: a case report.
abstract: BACKGROUND
  Hermansky-Pudlak syndrome (HPS), a rare autosomal-recessive disorder encompassing multiple organs, is characterized by oculocutaneous albinism, platelet storage pool deficiency resulting in bleeding diathesis, and ceroid lipofuscin deposition which can lead to pulmonary fibrosis, colitis, cardiomyopathy and renal failure. Pregnancy in a patient with HPS can produce multiple complications such as peripartum hemorrhage and difficulties with administration of anesthesia, either regional or general.
  
  
  METHODS
  We present the case of a patient with HPS also complicated by spontaneous triplet pregnancy.
  
  
  CONCLUSIONS
  A multidisciplinary approach, including the involvement of obstetric, anesthesia, and hematology teams, is the ideal for an HPS patient with the potential for multiple complications in the peripartum period.
authors.affiliation: Department of Obstetrics and Gynecology, University of Rochester Medical Center, 601 Elmwood Avenue, Box 668, Rochester, NY 14642, USA.
authors.forename: Miranda
authors.initials: M
authors.lastname: Harris-Glocker
authors.forename: Loralei L
authors.initials: LL
authors.lastname: Thornburg
authors.forename: Eva K
authors.initials: EK
authors.lastname: Pressman
mesh_terms: D000328:Adult; D016115:Albinism, Oculocutaneous; D002585:Cesarean Section; D003894:Deamino Arginine Vasopressin / Q000008:administration & dosage; D005260:Female; D005865:Gestational Age; D006490:Hemostatics; D022861:Hermanski-Pudlak Syndrome / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D006801:Humans; D010981:Platelet Storage Pool Deficiency; D011247:Pregnancy; D011248:Pregnancy Complications / Q000175:diagnosis* / Q000628:therapy; D011256:Pregnancy Outcome; D059286:Pregnancy, Triplet; D047928:Premature Birth
chemical_list: D006490:Hemostatics; D003894:Deamino Arginine Vasopressin