The c.602del (p.Asn201ThrfsTer6) variant in exon 4 is a nonsense variant predicted to cause a premature stop codon in biologically-relevant-exon 5 and is predicted to lead to nonsense mediated decay in a gene in which loss-of-function is an established disease mechanism (PVS1). At least one patient (Patient GTa in PMID:11722423) with this variant displayed mucocutaneous bleeding and impaired aggregation with all agonists except ristocetin, which is highly specific for Glanzmann thrombasthenia (PP4_moderate). This individuals was compound heterozygous for this variant (reported by the authors as "a deletion at the 3' end of exon 3 resulting in a premature stop codon," but confirmed as c.602del from entry 57 in the GT database) and a likely pathogenic variant (NM_000212.3:c.655G>A (p.Val219Met)). This variant is also absent from gnomAD v2.1.1 (PM2_Supporting). In summary, this variant meets the criteria to be classified as Pathogenic for autosomal recessive Glanzmann Thrombasthenia based on the ACMG/AMP criteria applied, as specified by the ClinGen PD VCEP: PVS1, PP4_Moderate, and PM2_Supporting (VCEP specifications version 2.1).