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Platelet function defects in chronic alcoholism.

D P Mikhailidis, W J Jenkins, M A Barradas

    British Medical Journal (Clinical Research Ed.)
    |September 20, 1986
    PubMed
    Summary
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    Alcohol significantly impairs platelet function and reduces platelet counts, increasing bleeding risk. Abstinence for 2-3 weeks restores normal platelet function and counts in alcoholic patients.

    Area of Science:

    • Hematology
    • Toxicology
    • Internal Medicine

    Background:

    • Chronic heavy alcohol consumption is linked to bleeding disorders.
    • Alcohol's impact on platelet function and count is not fully understood.

    Purpose of the Study:

    • To assess platelet function and count in alcoholic patients upon admission and during abstinence.
    • To determine the reversibility of alcohol-induced platelet dysfunction.

    Main Methods:

    • Assessed platelet responsiveness to aggregating agents (adrenaline, ADP, collagen).
    • Measured platelet counts and Simplate II bleeding times.
    • Monitored changes during 2-3 weeks of hospital abstinence.

    Main Results:

    • On admission, alcoholic patients showed reduced platelet aggregation and thromboxane A2 release, with lower platelet counts and prolonged bleeding times.

    Related Experiment Videos

  • Platelet function and counts normalized or became hyper-responsive during abstinence.
  • Bleeding times correlated with improved platelet aggregation, thromboxane A2 release, platelet count, and reduced prior ethanol consumption.
  • Conclusions:

    • Chronic alcohol ingestion inhibits platelet function reversibly upon abstinence.
    • Impaired platelet function and reduced counts may contribute to bleeding diathesis in alcoholism.
    • This dysfunction may increase the risk of gastrointestinal hemorrhage in heavy drinkers.