Glanzmann Thrombasthenia: A Curse to Platelet Function

Y. Yesseswini, T. Bindu, P. Babu
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Abstract

A platelet function disorder that is autosomal recessive with altered platelet number and appearance is called Glanzmann thrombasthenia. Quantitative and qualitative abnormalities of αIIbβ3 integrin are the molecular basis of this condition. Adhesive proteins attach aggregating platelets under the influence of this receptor and result in thrombus formation at the location of injury in blood vessels. Some patients have minimum bruising, while others have severe and frequent fatal hemorrhages in GT. Its common symptoms include purpura, epistaxis, menorrhagia, or gastrointestinal bleeding. Both alleles of one of the genes that code for the platelet integrin receptor polypeptides are affected by mutations, which results in the disease. Chronic anemia, neurological problems, and psychological problems are complications associated with this condition. Platelet aggregation, complete blood count, and prothrombin time are the standard tests to diagnose Glanzmann's thrombasthenia. Antifibrinolytics, platelet transfusions, monoclonal antibodies, hematopoietic stem molecular transplantation, and gene remedy are interventions to deal with this uncommon hematological disorder. If the treatment measures are ineffective, or to prevent bleeding during surgery, then transfuse HLA-compatible platelet concentrates. Recombinant Factor VIIa is used as an alternative therapy for this condition. Implementation of appropriate preventive measures helps us to keep this disorder at bay.
格兰兹曼血栓减少症:对血小板功能的诅咒
一种常染色体隐性遗传的血小板功能障碍,伴血小板数量和外观改变,称为格兰兹曼血栓减少症。α ib β3整合素的定量和定性异常是这种情况的分子基础。在这种受体的作用下,粘附蛋白附着在聚集的血小板上,在血管损伤部位形成血栓。有些患者有轻微的瘀伤,而另一些患者则有严重和频繁的致命性出血。其常见症状包括紫癜、鼻出血、月经过多或胃肠道出血。编码血小板整合素受体多肽的一个基因的两个等位基因都受到突变的影响,从而导致疾病。慢性贫血、神经问题和心理问题是与这种疾病相关的并发症。血小板聚集、全血细胞计数和凝血酶原时间是诊断格兰兹曼血栓减少症的标准检查。抗纤溶药物、血小板输注、单克隆抗体、造血干细胞分子移植和基因治疗是治疗这种罕见血液病的干预措施。如果治疗措施无效,或术中为防止出血,则输注hla相容的浓缩血小板。重组VIIa因子被用作这种情况的替代疗法。实施适当的预防措施有助于我们控制这种混乱。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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