Glanzmann's thrombasthenia secondary prevention: Difference between revisions

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{{Glanzmann's thrombasthenia}}
{{Glanzmann's thrombasthenia}}


{{CMG}} {{AE}} {{OK}}, [[User:Niush.D|Niyousha Danesh, MD-MPH]]
{{CMG}} {{AE}} {{OK}}


==Overview==
==Overview==
Glanzmann’s thrombasthenia patients need regular dental visits and must maintain good oral hygiene because the recurrence of [[gingival bleeding]] is more in them. These patient should avoid contact sports. Women with GT, because of [[menorrhagia]], should be monitored regularly for [[iron deficiency anemia]] and if needed, should receive iron supplements.
[[DDAVP]] prevents [[bleeding]] after [[dental extraction]] and minor [[surgery]] in patients with milder [[platelet]] defects. [[Glanzmann's thrombasthenia]] patients need regular [[dental]] visits and must maintain good [[oral hygiene]] because the recurrence of [[gingival bleeding]] is more in them. These patient should avoid contact sports. [[Estrogens]], [[Platelet transfusions|platelet transfusion]], [[antifibrinolytic]] agents, and recombinant human factor VIIa are some other therapies used for treatment/prevention.
 
85 % of patients with Glanzmann’s thrombasthenia require at least once in their lifetime blood transfusion, so they should be immunized against [[hepatitis B]].
 
GT patients should not use non-steroidal anti-inflammatory drugs([[NSAID)]] and [[aspirin]].
 
GT Patients require [[HLA typing]] at the time of diagnosis, and should be monitored for [[HLA]] and anti-platelet antibodies. Patients should be educated,how to control bleeding from a minor wound or [[epistaxis]] by means of pressure or taking an oral [[anti-fibrinolytic drug]] ,and they should approach a medical professional in the case of uncontrolled bleeding.


==Secondary Prevention==
==Secondary Prevention==
Glanzmann’s thrombasthenia patients need regular dental visits and must maintain good oral hygiene because the recurrence of [[gingival bleeding]] is more in them.
These patient should avoid contact sports.
Women with GT, because of [[menorrhagia]], should be monitored regularly for [[iron deficiency anemia]] and if needed, should receive iron supplements.
85 % of patients with Glanzmann’s thrombasthenia require at least once in their lifetime blood transfusion, so they should be immunized against [[hepatitis B]].
GT patients should not use non-steroidal anti-inflammatory drugs([[NSAID)]] and [[aspirin]].
GT Patients require [[HLA typing]] at the time of diagnosis, and should be monitored for [[HLA]] and anti-platelet antibodies.


Patients should be educated,how to control bleeding from a minor wound or [[epistaxis]] by means of pressure or taking an oral [[anti-fibrinolytic drug]] ,and they should approach a medical professional in the case of uncontrolled bleeding.
[[DDAVP]] prevents [[bleeding]] after [[dental extraction]] and minor [[surgery]] in patients with milder [[platelet]] defects<ref name="pmid11925531">{{cite journal |vauthors=Piot B, Sigaud-Fiks M, Huet P, Fressinaud E, Trossaërt M, Mercier J |title=Management of dental extractions in patients with bleeding disorders |journal=Oral Surg Oral Med Oral Pathol Oral Radiol Endod |volume=93 |issue=3 |pages=247–50 |date=March 2002 |pmid=11925531 |doi= |url=}}</ref><ref name="pmid10472549">{{cite journal |vauthors=Kosch A, Kehrel B, Nowak-Göttl U, Häberle J, Jürgens H |title=[Thrombocytic alpha-delta-storage-pool-disease: shortening of bleeding time after infusion of 1-desamino-8-D-arginine vasopressin] |language=German |journal=Klin Padiatr |volume=211 |issue=4 |pages=198–200 |date=1999 |pmid=10472549 |doi=10.1055/s-2008-1043787 |url=}}</ref>. [[Glanzmann's thrombasthenia]] patients need regular [[dental]] visits and must maintain good [[oral hygiene]] because the recurrence of [[gingival bleeding]] is more in them. These patient should avoid contact sports. [[Estrogens]], [[Platelet transfusions|platelet transfusion]], [[antifibrinolytic]] agents, and recombinant human factor VIIa are some other therapies used for treatment/prevention. <ref name="pmid24910701">{{cite journal |vauthors=Varkey I, Rai K, Hegde AM, Vijaya MS, Oommen VI |title=Clinical Management of Glanzmann's Thrombasthenia: A Case Report |journal=J Dent (Tehran) |volume=11 |issue=2 |pages=242–7 |date=March 2014 |pmid=24910701 |pmc=4043557 |doi= |url=}}</ref><ref name="pmid26185478">{{cite journal |vauthors=Solh T, Botsford A, Solh M |title=Glanzmann's thrombasthenia: pathogenesis, diagnosis, and current and emerging treatment options |journal=J Blood Med |volume=6 |issue= |pages=219–27 |date=2015 |pmid=26185478 |pmc=4501245 |doi=10.2147/JBM.S71319 |url=}}</ref><ref name="pmid16427383">{{cite journal |vauthors=Poon MC, Zotz R, Di Minno G, Abrams ZS, Knudsen JB, Laurian Y |title=Glanzmann's thrombasthenia treatment: a prospective observational registry on the use of recombinant human activated factor VII and other hemostatic agents |journal=Semin. Hematol. |volume=43 |issue=1 Suppl 1 |pages=S33–6 |date=January 2006 |pmid=16427383 |doi=10.1053/j.seminhematol.2005.11.009 |url=}}</ref>


==References==
==References==
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[[Category:Disease]]
[[Category:Disease]]
[[Category:Hematology]]
[[Category:Hematology]]
[[Category:Primary care]]

Latest revision as of 21:52, 29 July 2020

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

DDAVP prevents bleeding after dental extraction and minor surgery in patients with milder platelet defects. Glanzmann's thrombasthenia patients need regular dental visits and must maintain good oral hygiene because the recurrence of gingival bleeding is more in them. These patient should avoid contact sports. Estrogens, platelet transfusion, antifibrinolytic agents, and recombinant human factor VIIa are some other therapies used for treatment/prevention.

Secondary Prevention

DDAVP prevents bleeding after dental extraction and minor surgery in patients with milder platelet defects[1][2]. Glanzmann's thrombasthenia patients need regular dental visits and must maintain good oral hygiene because the recurrence of gingival bleeding is more in them. These patient should avoid contact sports. Estrogens, platelet transfusion, antifibrinolytic agents, and recombinant human factor VIIa are some other therapies used for treatment/prevention. [3][4][5]

References

  1. Piot B, Sigaud-Fiks M, Huet P, Fressinaud E, Trossaërt M, Mercier J (March 2002). "Management of dental extractions in patients with bleeding disorders". Oral Surg Oral Med Oral Pathol Oral Radiol Endod. 93 (3): 247–50. PMID 11925531.
  2. Kosch A, Kehrel B, Nowak-Göttl U, Häberle J, Jürgens H (1999). "[Thrombocytic alpha-delta-storage-pool-disease: shortening of bleeding time after infusion of 1-desamino-8-D-arginine vasopressin]". Klin Padiatr (in German). 211 (4): 198–200. doi:10.1055/s-2008-1043787. PMID 10472549.
  3. Varkey I, Rai K, Hegde AM, Vijaya MS, Oommen VI (March 2014). "Clinical Management of Glanzmann's Thrombasthenia: A Case Report". J Dent (Tehran). 11 (2): 242–7. PMC 4043557. PMID 24910701.
  4. 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.
  5. Poon MC, Zotz R, Di Minno G, Abrams ZS, Knudsen JB, Laurian Y (January 2006). "Glanzmann's thrombasthenia treatment: a prospective observational registry on the use of recombinant human activated factor VII and other hemostatic agents". Semin. Hematol. 43 (1 Suppl 1): S33–6. doi:10.1053/j.seminhematol.2005.11.009. PMID 16427383.