Inherited Qualitative Platelet Defects
Bernard-Soulier Syndrome
• Defect of adhesion due to a lack of GP Ib/IX/V [vWF receptor]
• Thrombocytopenia, Large platelets on smear
Glanzmann Thrombasthenia
• Defect of aggregation due to a lack of GP IIb/IIIa [fibrinogen receptor]
• Normal platelet count, Single isolated platelets without platelet clumping on smear
MYH9-Related Disorder
• Defect of cytoplasmic structure and cell mobility due to mutation in non-muscle myosin heavy chain IIA
• Thrombocytopenia, Large platelets on smear, as well as granulocyte inclusions called Döhle-like bodies. May also present with sensorineural hearing loss, cataracts, and renal failure
Grey Platelet Syndrome (an example of a storage pool deficiency)
• Absence of platelet α-granules (contains vWF, factor V, and fibrinogen)
• Thrombocytopenia, Large, grey colored platelets on smear, Associated with myelofibrosis and splenomegaly
- Dr. Eric Strong @DrEricStrong - Strong Medicine https://www.youtube.com/c/EricsMedi
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