
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Sticky platelet syndrome
Introduction
Overview
Overview
Sticky platelet syndrome is a term used by some[1][2][3][4] to describe a disorder of platelet function.[5]
Pathophysiology
Pathophysiology
It is inherited in an autosomal dominant pattern.[7] It has not been associated with a specific gene, and it is not recognized as an entity in OMIM.
Among researchers using the term, it has been described as a coagulation disorder that can present in conjunction with protein S deficiency and Factor V Leiden.[8] It is not currently known if sticky platelet syndrome is a distinct condition, or if it represents part of the presentation of a more well characterized coagulation disorder.
Diagnosis
Diagnosis
SPS is diagnosed by demonstrating platelet hyperaggregability. In a lab test called aggregometry platelet stickyness is stimulated with epinephrine (EPI) and/or adenosine diphosphate (ADP).[9] This test is not possible for patients being treated with acetylsalicylic acid until that substance has sufficiently cleared from their system.
Treatment
Treatment
Those diagnosed are usually treated with taking a low dose (80β100Β mg) Aspirin a day.[10] Anticoagulants (e.g. Warfarin, Coumadin) or clopidogrel (Plavix) are often additionally prescribed following formation of a medically significant clot. Thrombelastography is more commonly being used to diagnose hypercoagulability and monitor anti-platelet therapy.
Criticism
Criticism
Critics of the diagnosis complain that case evidence is spotty and lacking controlled clinical studies.[11]
References
References
- β Mammen EF (1999). “Sticky platelet syndrome”. Semin. Thromb. Hemost. 25 (4): 361β5. doi:10.1055/s-2007-994939. PMIDΒ 10548069.
- β Frenkel EP, Mammen EF (February 2003). “Sticky platelet syndrome and thrombocythemia”. Hematol. Oncol. Clin. North Am. 17 (1): 63β83. doi:10.1016/S0889-8588(02)00096-5. PMIDΒ 12627663.
- β Mears KA, Van Stavern GP (July 2008). “Bilateral Simultaneous Anterior Ischaemic Optic Neuropathy Associated with Sticky Platelet Syndrome”. Br J Ophthalmol. 93 (7): 885β6, 913. doi:10.1136/bjo.2008.142919. PMIDΒ 18662911.
- β Mammen EF, Barnhart MI, Selik NR, Gilroy J, Klepach GL (1988). ““Sticky platelet syndrome”: a congenital platelet abnormality predisposing to thrombosis?”. Folia Haematol. Int. Mag. Klin. Morphol. Blutforsch. 115 (3): 361β5. PMIDΒ 2465231.
- β MΓΌhlfeld AS, Ketteler M, Schwamborn K; et al. (July 2007). “Sticky platelet syndrome: an underrecognized cause of graft dysfunction and thromboembolic complications in renal transplant recipients”. Am. J. Transplant. 7 (7): 1865β8. doi:10.1111/j.1600-6143.2007.01835.x. PMIDΒ 17532753.
- β Bick, Rodger L (2006). Hematological complications in obstetrics, pregnancy, and gynecology. Cambridge, UK: Cambridge University Press. p.Β 147. ISBNΒ 0-521-83953-X.
- β McKay, Robert; David R. Gambling (2008). Obstetric anesthesia and uncommon disorders. Cambridge, UK: Cambridge University Press. p.Β 308. ISBNΒ 0-521-87082-8.
- β Chaturvedi S, Dzieczkowski JS (1999). “Protein S deficiency, activated protein C resistance and sticky platelet syndrome in a young woman with bilateral strokes”. Cerebrovasc. Dis. 9 (2): 127β30. doi:10.1159/000015911. PMIDΒ 9973658.
- β http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6T1C-47T2D4S-4&_user=10&_rdoc=1&_fmt=&_orig=search&_sort=d&view=c&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5=fa06922a824e24db83382664b8659e30
- β Mammen EF (1999). “Sticky platelet syndrome”. Semin. Thromb. Hemost. 25 (4): 361β5. doi:10.1055/s-2007-994939. PMIDΒ 10548069.
- β http://www.fvleiden.org/ask/78.html
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]
