Griscelli syndrome type 2: a tragic tale of two siblings

Authors

  • Mowlika Muppalla Department of Clinical Immunology and Rheumatology, ESIC Medical College and Hospital, Hyderabad, Telangana, India
  • Vijaya Prasanna Parimi Department of Clinical Immunology and Rheumatology, ESIC Medical College and Hospital, Hyderabad, Telangana, India
  • R. N. Tejaswini Department of Clinical Immunology and Rheumatology, ESIC Medical College and Hospital, Hyderabad, Telangana, India
  • Ambavaram Vaishnavi Department of Pediatrics, ESIC Medical College and Hospital, Hyderabad, Telangana, India
  • Prajnya Ranganath Department of Medical Genetics, Nizams Institute of Medical Sciences (NIMS), Hyderabad, Telangana, India
  • Naveen Kumar Lanka Department of Radiology, ESI Medical College and Hospital, Hyderabad, Telangana, India

DOI:

https://doi.org/10.18203/2349-3291.ijcp20251882

Keywords:

Inborn error of immunity, RAB27A mutation, Hemophagocytic lymphohistiocytosis, Albinism

Abstract

Griscelli syndrome (GS) is a rare autosomal recessive disorder classified as an inborn error of immunity. Among its three variants, GS type 2, caused by mutations in the RAB27A gene, is marked by partial albinism and recurrent episodes of hemophagocytic lymphohistiocytosis (HLH). This case report chronicles the poignant journey of two siblings tragically lost to this condition. GS type 2 carries a high mortality rate, primarily due to HLH complications. Currently, hematopoietic stem cell transplantation (HSCT) remains the sole curative treatment for this devastating syndrome.

 

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Author Biography

Ambavaram Vaishnavi, Department of Pediatrics, ESIC Medical College and Hospital, Hyderabad, Telangana, India

  

References

Ménasché G, Pastural E, Feldmann J, Certain S, Ersoy F, Dupuis S, et al. Mutations in RAB27A cause Griscelli syndrome associated with haemophagocytic syndrome. Nature Genetics. 2000;25(2):173-6. DOI: https://doi.org/10.1038/76024

Ostrowski M, Carmo NB, Krumeich S, Fanget I, Raposo G, Savina A, et al. Rab27a and Rab27b control different steps of the exosome secretion pathway. Nature Cell Biol. 2010;12(1):19-30. DOI: https://doi.org/10.1038/ncb2000

Sefsafi Z, El Hasbaoui B, Kili A, Agadr A, Khattab M. Macrophage activation syndrome associated with griscelli syndrome type 2: case report and review of literature. Pan Afr Med J. 2018;29(1):1-6.

Gupta D, Thakral D, Bakhshi S, Kabra SK, Mitra DK. Hematopoietic stem cell transplantation in children with Griscelli Syndrome type 2: Experience and outcomes. Indian J Pathol Microbiol. 2019;62(2):279-82. DOI: https://doi.org/10.4103/IJPM.IJPM_645_18

Zhang Q, Zhao YZ, Ma HH, Wang D, Zhang N, Li ZG, et al. Successful rescue of a lethal Griscelli syndrome type 2 presenting with neurological involvement and hemophagocytic lymphohistiocytosis: a case report. BMC Pediatr. 2021;21(1):253. DOI: https://doi.org/10.1186/s12887-021-02720-1

Maimaris J, Roa-Bautista A, Sohail M, Booth C, Cugno C, Chenchara L, et al. Griscelli Syndrome Type 2: Comprehensive Analysis of 149 New and Previously Described Patients with RAB27A Deficiency. J Clin Immunol. 2024;45(1):50. DOI: https://doi.org/10.1007/s10875-024-01842-2

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Published

2025-06-25

How to Cite

Muppalla, M., Parimi, V. P., Tejaswini, R. N., Vaishnavi, A., Ranganath, P., & Lanka, N. K. (2025). Griscelli syndrome type 2: a tragic tale of two siblings. International Journal of Contemporary Pediatrics, 12(7), 1232–1235. https://doi.org/10.18203/2349-3291.ijcp20251882

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Section

Case Reports