Info
Inherited Platelet Function Disorders
Defect Type | Name | Inheritance | Characteristics |
---|---|---|---|
Adhesion | Bernard-Soulier | AR | Defective GPIb-IX-V complex |
DiGeorge Syndrome | 22q11.2 deletion, | reduced and large platelets, multiple abnormalities | |
Aggregation | Glanzmann | AR | Reduced or qualitative defect in GPIIb/IIIA |
Granule | Chediak-Higashi | AR | Reduced δ-granules, immunodeficiency |
Hermansky-Pudlak | AR | Reduced 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