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Inherited Platelet Function Disorders

Defect TypeNameInheritanceCharacteristics
AdhesionBernard-SoulierARDefective GPIb-IX-V complex
DiGeorge Syndrome22q11.2 deletion,reduced and large platelets, multiple abnormalities
AggregationGlanzmannARReduced or qualitative defect in GPIIb/IIIA
GranuleChediak-HigashiARReduced δ-granules, immunodeficiency
Hermansky-PudlakARReduced δ-granules, oculocutaneous albinism

Platelet disorders [9] Platelet deficiency (see “Etiology” in “Thrombocytopenia”) Platelet dysfunction (thrombocytopathy): disorders that lead to dysfunctional adhesion or aggregation of platelets Inherited Von Willebrand disease Bernard-Soulier syndrome Glanzmann thrombasthenia Acquired Drug-induced: e.g., aspirin, NSAID, clopidogrel Immune thrombocytopenic purpura Chronic kidney disease Cardiopulmonary bypass [10] See also ”Differential diagnosis of platelet disorders.” Disorders affecting the vessel wall Vascular hemorrhagic diathesis (e.g., IgA vasculitis, hereditary hemorrhagic telangiectasia) Thrombotic microangiopathy (e.g., HUS and TTP) Conditions with impaired collagen synthesis (e.g., scurvy, Ehlers-Danlos syndrome) Pathophysiology Typical presentation Peripheral smear