Platelet Dysfunction Diseases and Conditions: Clinical Implications and Considerations

Adv Ther. 2020 Sep;37(9):3707-3722. doi: 10.1007/s12325-020-01453-4. Epub 2020 Jul 29.

Abstract

Introduction: Platelet diseases and dysfunction are taught early in medical school to all future physicians. Understanding of the coagulation cascade and hemostatic mechanisms has allowed for targeted pharmacological therapies that have been significantly impactful in clinical practice. Platelets are an early participant in hemostasis physiologically and under pathophysiological states.

Methods: A review of literature involving platelet disfunction.

Results: Various presentations of platelet diseases and dysfunction challenge clinicians and require a firm understanding of normal platelet function, drugs that mediate or modulate platelet effectiveness, and nonpharmacologic etiologies of platelet diseases and dysfunction with corresponding best practice treatment approaches.

Conclusion: This review summarizes normal and abnormal states associated with platelets and treatment strategies.

Keywords: Hemostasis; Platelet disfunction; Systemic lupus erythematosus; Thrombotic thrombocytopenic purpura.

Publication types

  • Review

MeSH terms

  • Adult
  • Aged
  • Aged, 80 and over
  • Blood Platelet Disorders / diagnosis*
  • Blood Platelet Disorders / drug therapy*
  • Blood Platelet Disorders / physiopathology*
  • Female
  • Hemostasis / drug effects*
  • Hemostasis / physiology*
  • Humans
  • Male
  • Middle Aged