Case report
Gray platelet syndrome: A variety of qualitative platelet disorder

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Abstract

An eleven year old child with a bleeding tendency since infancy is described. The hemorrhagic disorder was characterized by thrombocytopenia and morphologic abnormalities of platelets and megakaryocytes, consisting of lack or paucity of granules and a peculiar gray color. Thrombocytopenia was corrected temporarily by corticosteroid therapy and permanently by splenectomy. However, morphologic abnormalities, poor clot retraction and prolonged bleeding time persisted. The platelets aggregated normally with adenosine diphosphate (ADP), collagen and epinephrine. Thrombasthenin, fibrinogen and ADP content were normal. Adenosine triphosphate (ATP) content was 50 per cent of normal. Platelet phosphatides were significantly decreased, and phosphatidyl serine could not be identified chromatographically.

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    This study was supported by Public Health Service Grant No. HEO8743.

    1

    From the University of Louisville School of Medicine, Department of Medicine, Division of Hematology, Louisville, Kentucky 40202.

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