Fechtner syndrome is an autosomal dominant syndrome which is defined by cataract, sensory neural hearing loss, kidney involvement, macrothrombocytopenia and neutrophilic inclusion bodies. We report a 21-year-old man with a history of idiopathic thrombocytopenic purpura, cataract and hearing loss who was admitted for work up renal failure. His blood smear showed macrothrombocytopenia...