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==Overview==
==Overview==

Revision as of 20:13, 19 November 2018

Glanzmann's thrombasthenia

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Omer Kamal, M.D.[2]

Overview

History

History taking is one of the most important steps in diagnosing Glanzmann's thrombasthenia.

GT is diagnosed at the neonatal age or early childhood, commonly before the age of 5 and the early manifestations are mostly easily bruising, mucocutaneous bleeding, epistaxis due to digital manipulation or a sever hemorrhage after a surgery, such as circumcision. [1] The severity of the presenting symptoms has no known relation to the affected gene. However mutations in the ITGB3 gene manifest bleeding more than the other gene .[2]

Symptoms

Symptoms of Glanzmann's thrombasthenia varies from a minor bruise to a life-threatening hemorrhage

It may include any of the following manifestation:

  • Easily bruising (76.6%)
  • Nosebleeds that do not stop easily (62.5%)
  • Bleeding gums (56.4%)
  • Prolonged bleeding with minor injuries (47.2%)
  • Heavy menstrual bleeding
  • postpartum bleeding
  • gastrointestinal bleeding
  • Heavy bleeding during and after surgery
  • bleeding into joints (rare) [3]

References

  1. Solh T, Botsford A, Solh M (2015). "Glanzmann's thrombasthenia: pathogenesis, diagnosis, and current and emerging treatment options". J Blood Med. 6: 219–27. doi:10.2147/JBM.S71319. PMC 4501245. PMID 26185478.
  2. Fiore M, Nurden AT, Nurden P, Seligsohn U (2012). "Clinical utility gene card for: Glanzmann thrombasthenia". Eur J Hum Genet. 20 (10). doi:10.1038/ejhg.2012.151. PMC 3449071. PMID 22781097.
  3. Iqbal I, Farhan S, Ahmed N (2016). "Glanzmann Thrombasthenia: A Clinicopathological Profile". J Coll Physicians Surg Pak. 26 (8): 647–50. doi:2396 Check |doi= value (help). PMID 27539755.