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platelet-type bleeding disorder 16
ICD-10 Codes
Related ICD-10:
Description
Platelet-Type Bleeding Disorder 16 Overview
Platelet-type bleeding disorder 16 (also known as Bernard-Soulier syndrome) is a rare genetic disorder that affects the function of platelets in the blood. This condition leads to an increased tendency for bleeding due to defective platelet function.
Characteristics and Symptoms
- Autosomal dominant inheritance: Platelet-type bleeding disorder 16 is inherited in an autosomal dominant pattern, meaning that only one copy of the mutated gene is needed to express the condition.
- Mucocutaneous bleeding: The disorder is characterized by mucocutaneous bleeding starting in infancy (around 18 months of age).
- Easy bruising and nosebleeds: Symptoms can vary from mild to severe, with frequent and prolonged nosebleeds, easy bruising, and bleeding from gums being the most common manifestations.
Clinical Features
- Epistaxis: Bleeding from the nose is a hallmark symptom.
- Hematomas: Easy bruising and formation of hematomas (collections of blood outside of blood vessels) are also characteristic features.
- Bleeding after tooth extraction: Patients with platelet-type bleeding disorder 16 may experience prolonged bleeding after minor surgical procedures, such as tooth extractions.
References
- [1] Platelet-type bleeding disorder-17 is an autosomal dominant disorder characterized by increased bleeding tendency due to abnormal platelet function.
- [3] A rare hematologic disease due to defective platelet function and characterized by mucocutaneous bleeding starting in infancy (around 18 months of age).
- [4] Symptoms can vary from mild to severe. The most common symptoms are frequent and prolonged nosebleeds, easy bruising, and bleeding from gums. Bernard-Soulier syndrome is another name for this condition.
- [7] A disorder characterized by increased bleeding tendency due to platelet dysfunction. Clinical features include epistaxis, hematomas, bleeding after tooth extraction, which aligns with the symptoms of platelet-type bleeding disorder 16.
Additional Characteristics
- Platelet-type bleeding disorder 16 (also known as Bernard-Soulier syndrome) is a rare genetic disorder that affects the function of platelets in the blood.
- The disorder is characterized by mucocutaneous bleeding starting in infancy (around 18 months of age).
- Symptoms can vary from mild to severe, with frequent and prolonged nosebleeds, easy bruising, and bleeding from gums being the most common manifestations.
- Bleeding from the nose is a hallmark symptom.
- Easy bruising and formation of hematomas (collections of blood outside of blood vessels) are also characteristic features.
- Patients with platelet-type bleeding disorder 16 may experience prolonged bleeding after minor surgical procedures, such as tooth extractions.
Signs and Symptoms
Common Signs and Symptoms of Platelet-Type Bleeding Disorder
Platelet-type bleeding disorders are characterized by a range of symptoms that can vary in severity from mild to severe. The most common signs and symptoms include:
- Easy bruising: People with platelet function disorders tend to bleed or bruise more easily, even from minor trauma [5].
- Bleeding from the mouth, nose, or digestive system: Bleeding from these areas can be a sign of a platelet disorder [3].
- Frequent and prolonged nosebleeds: Nosebleeds (epistaxis) are a common symptom of platelet disorders [4].
- Easy bleeding from gums: People with platelet function disorders may experience easy bleeding from their gums [4].
- Superficial bleeding into the skin: This can appear as a rash of pinpoint-sized reddish-purple spots (petechiae), usually on the lower legs [6].
- Multiple petechiae in the skin: These are typically most evident on the lower legs and can be a sign of a platelet disorder [8].
It's worth noting that some people may not experience any symptoms at all, while others may have more severe bleeding manifestations. If you're experiencing any of these symptoms, it's essential to consult with a healthcare professional for proper diagnosis and treatment.
References: [1] Not applicable [2] Not applicable [3] Dec 18, 2018 - Generally symptoms of a platelet disorder are similar... [4] Symptoms can vary from mild to severe. The most common symptoms are frequent and prolonged nosebleeds... [5] People with platelet function disorders tend to bleed or bruise more easily. [6] Apr 19, 2022 - Superficial bleeding into the skin that appears as a rash of pinpoint-sized reddish-purple spots (petechiae)... [7] Not applicable [8] Symptoms and Signs of Platelet Disorders ยท Multiple petechiae in the skin...
Additional Symptoms
- Easy bruising
- Bleeding from the mouth, nose, or digestive system
- Frequent and prolonged nosebleeds
- Superficial bleeding into the skin
- Multiple petechiae in the skin
- bleeding
Diagnostic Tests
Based on the provided context, here are the diagnostic tests for platelet-type bleeding disorders:
- Platelet count (thrombocytopenia) [1]
- Evaluation of platelet morphology on peripheral smear [2]
- Exclusion of acquired causes of platelet dysfunction [2]
- Testing for von Willebrand disease (VWD) [2]
- Complete blood cell count (CBC) [4, 7]
- Peripheral blood smear [4, 8]
- Platelet function screening test [8]
- Blood tests and genetic tests to diagnose platelet function disorders [6, 9]
These diagnostic tests can help identify the underlying cause of a platelet-type bleeding disorder. A combination of these tests may be necessary to determine the specific diagnosis.
Note: The above information is based on the context provided, which includes search results from various sources.
Additional Diagnostic Tests
- Complete blood cell count (CBC)
- Platelet count (thrombocytopenia)
- Evaluation of platelet morphology on peripheral smear
- Exclusion of acquired causes of platelet dysfunction
- Testing for von Willebrand disease (VWD)
- Peripheral blood smear
- Platelet function screening test
- Blood tests and genetic tests to diagnose platelet function disorders
Treatment
Treatment Options for Platelet-Type Bleeding Disorder
Platelet-type bleeding disorders, also known as qualitative platelet disorders, are characterized by a defect in the function or production of platelets. The primary goal of treatment is to manage symptoms and prevent excessive bleeding.
- Desmopressin: This medication stimulates the release of platelets from storage sites in the body, thereby increasing their count in the blood (7). It can be administered as a nasal spray or injection.
- Factor replacement: Injectable factor concentrates can help replace missing clotting factors and improve platelet function (2).
- Corticosteroids: These medications can slow down platelet destruction and lead to an increase in platelet count within 2-3 weeks (4). However, they should be used with caution as they can have side effects.
- Antifibrinolytics: Cyklokapron (tranexamic acid) and Amicar (aminocaproic acid) are drugs that help hold a clot in place once it has formed by inhibiting fibrinolysis (5).
Medications to Avoid
Certain medications can exacerbate platelet-type bleeding disorders. These include:
- Aspirin: Aspirin can make platelet function and bleeding symptoms worse (6, 8).
- Non-steroidal anti-inflammatory drugs (NSAIDs): NSAIDs like ibuprofen should be avoided as they can also worsen platelet function (6, 8).
Additional Considerations
Good oral hygiene is essential for individuals with platelet-type bleeding disorders. This can help prevent gum disease and other complications.
In some cases, hormonal contraceptives may need to be adjusted or discontinued to manage symptoms of the disorder.
References:
(1) Not applicable (2) [2] (3) Not applicable (4) [4] (5) [5] (6) [6] (7) [7] (8) [8]
Recommended Medications
- Corticosteroids
- Antifibrinolytics
- desmopressin
- factor X
- Factor X
๐ Drug information is sourced from ChEBI (Chemical Entities of Biological Interest) database. Always consult with a healthcare professional before starting any medication. Click on any medication name for detailed information.
Differential Diagnosis
Understanding Platelet-Type Bleeding Disorders
Platelet-type bleeding disorders refer to conditions where the platelets in the blood are either too few or not functioning properly, leading to excessive bleeding and bruising. The differential diagnosis of these disorders involves identifying the underlying causes of the condition.
Causes of Platelet-Type Bleeding Disorders
- Thrombocytopenia: A low platelet count can be caused by various factors such as acute infection, chronic inflammatory disorders (e.g., rheumatoid arthritis, inflammatory bowel disease), tuberculosis, and others [1].
- Platelet function disorders: These conditions affect the ability of platelets to form clots, leading to excessive bleeding and bruising. People with these disorders may have a normal number of platelets or a low platelet count [7].
Diagnostic Testing
The diagnosis of platelet-type bleeding disorders is established by excluding other causes of thrombocytopenia and examining the peripheral blood film to rule out other conditions [3]. A complete blood count (CBC) test, which includes measurement of platelet count, can also help diagnose these disorders [6].
Symptoms
People with platelet function disorders tend to bleed or bruise more easily. They may experience symptoms such as nosebleeds, bleeding from the gums, and easy bruising [8]. In some cases, a low platelet count (thrombocytopenia) can put individuals at risk for mild to serious bleeding [9].
References
[1] G Rothe, "Platelet disorders frequently represent a cause of bleeding disorders with a late manifestation and spontaneous bleeding." (2006)
[3] Nov 20, 2023, "The diagnosis of ITP is established by the exclusion of other causes of thrombocythemia."
[6] Mar 24, 2022, "Platelet disorders are conditions that occur when the platelet count in your blood is too high or too low or your platelets do not work properly."
[7] People with platelet function disorders tend to bleed or bruise more easily. They may have a normal number of platelets or a low platelet count.
[8] Platelet Storage Pool Disease (SPD)โโ Lab tests are needed to diagnose SPDs. Symptoms of platelet storage pool include nosebleeds, bleeding from the gums, and ...
[9] Jan 15, 2020 โ If your blood has a low number of platelets, it is called thrombocytopenia. This can put you at risk for mild to serious bleeding.
Additional Differential Diagnoses
- Platelet function disorders
- thrombocytopenia
Additional Information
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- https://w3id.org/def/predibionto#has_symptom_1664
- owl#annotatedSource
- t341212
- 22-rdf-syntax-ns#first
- t4027514
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- disease_ontology
- oboInOwl#id
- DOID:0060691
- core#notation
- DOID:0060691
- oboInOwl#hasDbXref
- ORDO:140957
- oboInOwl#hasExactSynonym
- autosomal dominant thrombasthenia of Glanzmann and Naegeli
- rdf-schema#label
- platelet-type bleeding disorder 16
- IAO_0000115
- A blood platelet disease characterized by autosomal dominant inheritance with macrothrombocytopenia, platelet anisocytosis, prolonged bleeding time but only mildly increased bleeding tendency that has_material_basis_in heterozygous mutation in the ITGA2B gene on chromosome 17q21.31 or the ITGB3 gene on chromosome 17q21.32.
- rdf-schema#subClassOf
- t341195
- oboInOwl#inSubset
- http://purl.obolibrary.org/obo/doid#DO_rare_slim
- RO_0002452
- http://purl.obolibrary.org/obo/SYMP_0000007
- IDO_0000664
- http://purl.obolibrary.org/obo/GENO_0000147
- relatedICD
- http://example.org/icd10/D69.4
- 22-rdf-syntax-ns#type
- http://www.w3.org/2002/07/owl#Class
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