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Living with Hereditary thrombocytosis with transverse limb defect

A rare genetic syndrome with a high platelet count and a hand or forearm that is shorter or missing on one side.

Understanding Hereditary thrombocytosis with transverse limb defect

Hereditary thrombocytosis with transverse limb defect is a rare genetic syndrome with a high platelet count and differences in one limb.

The limb difference is on one side only and ranges from missing finger bones to a missing hand or forearm. People also have an enlarged spleen. It starts in the newborn period or infancy.

Signs & symptoms

GARD doesn't list specific symptoms for this condition yet. Based on the summary, it can include:

  • High platelet count (thrombocytosis)
  • Shorter or missing part of a limb on one side
  • Enlarged spleen

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists, bone and joint specialists and genetic specialists.

  3. Consider genetic testing

    Changes in THPO are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Bone and joint specialists (orthopedists or orthopedic surgeons); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with rare disease patient organizations for support
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Could genetic testing for the THPO gene confirm the diagnosis?
How should the high platelet count be monitored?
Which specialists can help with the limb difference?

Quick facts

Symptoms usually startNewborn and as an Infant
InheritanceAutosomal Dominant
GenesTHPO

It is caused by changes in the THPO gene. It is autosomal dominant, so one changed copy of the gene is enough.

GeneticBlood

Also known as: familial thrombocytosis with transverse limb defect; thrombocythemia with distal limb defect; thrombocythemia with distal limb defects

Patient organizations

Rare-disease groups that can help

Source: NIH GARD · Hereditary thrombocytosis with transverse limb defectGARD ID 21487 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Hereditary thrombocytosis with transverse limb defect.

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