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Platelet dense granule defect: experience in the French population
Delphine Borgel1,2, Agathe Beauvais3, Cécile Bally4
1Institut National de la Santé Et de la Recherche Médicale Unité Mixte de Recherche-S1176, Le Kremlin-Bicêtre, France.
Platelet dense granule defect (DGD) is an inherited bleeding disorder. This study found DGD prevalence varies from 7.5% to 37.4% based on diagnostic criteria, highlighting the need for standardized testing.
Area of Science:
- Hematology
- Inherited bleeding disorders
- Platelet function
Background:
- Platelet dense granule defect (DGD) is a common inherited bleeding disorder.
- It is frequently underdiagnosed due to diagnostic complexity and lack of standardized tools.
Purpose of the Study:
- To determine the prevalence of DGD in a large French cohort.
- Focus on patients with abnormal bleeding scores but normal coagulation and von Willebrand factor.
Main Methods:
- Recruited patients with abnormal bleeding scores (ISTH-BAT) and normal coagulation.
- Utilized platelet function tests: aggregometry, electron microscopy, mepacrine assay, CD63 expression.
- Confirmed DGD through reproducible abnormalities across two visits.
Main Results:
- Prevalence of DGD ranged from 7.5% (≥2 abnormalities) to 37.4% (≥1 abnormality) based on criteria.
- No significant differences in age, sex, bleeding scores, or history between DGD and non-DGD groups.
Conclusions:
- DGD diagnosis is highly dependent on the criteria used.
- Standardized guidelines and repeated testing are crucial for accurate DGD diagnosis in clinical practice.
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