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[Prolonged bleeding time in severe anemia].

G Soltani, F Fernandez, J Pris

Presse Medicale (Paris, France : 1983)

|April 19, 1986

Summary

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Severe anemia, even with normal platelet counts, can prolong bleeding time. Correcting anemia often normalizes bleeding, suggesting anemia is a significant hemorrhagic risk factor.

Area of Science:

Hematology
Internal Medicine

Context:

Investigating bleeding disorders in patients with severe anemia (hemoglobin < 8 g/dL).
Excluding patients with acute leukemia, myeloproliferative disorders, or chronic renal impairment.
Utilizing the Simplate bleeding time test for assessment.

Purpose:

To determine the frequency and clinical significance of prolonged bleeding time in severe anemia.
To evaluate the impact of anemia correction on bleeding time.

Summary:

25 patients with hematological disorders and normal platelet counts underwent bleeding time tests.
12 patients exhibited prolonged bleeding times, independent of hematocrit levels compared to those with normal bleeding times.
Bleeding time improved or normalized in 14 out of 15 patients after hematocrit correction.

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Impact:

Severe anemia is identified as a potential independent hemorrhagic risk factor.
Highlights the importance of addressing anemia to mitigate bleeding risks.
Suggests anemia management can improve hemostasis in affected patients.