Hermansky-Pudlak syndrome (HPS) is a rare autosomal recessively inherited d
isease with oculocutaneous albinism, hemorrhagic diathesis, and multisystem
ic deposition of ceroid lipofuscin. We report a case with all symptoms char
acteristic of HPS. The patient was a mentally retarded albino with mild ble
eding diathesis, and her course was complicated by granulomatous colitis re
fractory to medical treatment and progressive, fatal pulmonary fibrosis.