Clinical practice: The bleeding child. Part I: primary hemostatic disorders

Mucocutaneous bleeding is common in childhood and may be the result of primary hemostatic disorders such as vascular abnormalities, von Willebrand disease, thrombocytopenia, and platelet dysfunction. A detailed bleeding history and physical examination are essential to distinguish between normal and...

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Main Authors: van Ommen, C. Heleen, Peters, Marjolein
Format: Online
Language:English
Published: Springer-Verlag 2011
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249149/
id pubmed-3249149
recordtype oai_dc
spelling pubmed-32491492012-01-11 Clinical practice: The bleeding child. Part I: primary hemostatic disorders van Ommen, C. Heleen Peters, Marjolein Review Mucocutaneous bleeding is common in childhood and may be the result of primary hemostatic disorders such as vascular abnormalities, von Willebrand disease, thrombocytopenia, and platelet dysfunction. A detailed bleeding history and physical examination are essential to distinguish between normal and abnormal bleeding and to decide whether it is necessary to perform further laboratory evaluation. Initial laboratory tests include complete blood count, peripheral blood smear, mean platelet volume, von Willebrand factor (VWF) antigen assay, VWF ristocetin cofactor activity, and factor VIII activity. Once thrombocytopenia and von Willebrand disease have been excluded, platelet function should be tested by platelet aggregation. Additional specific diagnostic tests, such as platelet secretion tests and flow cytometry for the detection of platelet surface glycoprotein expression, are needed to confirm the raised hypothesis. Springer-Verlag 2011-07-29 2012-01 /pmc/articles/PMC3249149/ /pubmed/21800040 http://dx.doi.org/10.1007/s00431-011-1532-4 Text en © The Author(s) 2011
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author van Ommen, C. Heleen
Peters, Marjolein
spellingShingle van Ommen, C. Heleen
Peters, Marjolein
Clinical practice: The bleeding child. Part I: primary hemostatic disorders
author_facet van Ommen, C. Heleen
Peters, Marjolein
author_sort van Ommen, C. Heleen
title Clinical practice: The bleeding child. Part I: primary hemostatic disorders
title_short Clinical practice: The bleeding child. Part I: primary hemostatic disorders
title_full Clinical practice: The bleeding child. Part I: primary hemostatic disorders
title_fullStr Clinical practice: The bleeding child. Part I: primary hemostatic disorders
title_full_unstemmed Clinical practice: The bleeding child. Part I: primary hemostatic disorders
title_sort clinical practice: the bleeding child. part i: primary hemostatic disorders
description Mucocutaneous bleeding is common in childhood and may be the result of primary hemostatic disorders such as vascular abnormalities, von Willebrand disease, thrombocytopenia, and platelet dysfunction. A detailed bleeding history and physical examination are essential to distinguish between normal and abnormal bleeding and to decide whether it is necessary to perform further laboratory evaluation. Initial laboratory tests include complete blood count, peripheral blood smear, mean platelet volume, von Willebrand factor (VWF) antigen assay, VWF ristocetin cofactor activity, and factor VIII activity. Once thrombocytopenia and von Willebrand disease have been excluded, platelet function should be tested by platelet aggregation. Additional specific diagnostic tests, such as platelet secretion tests and flow cytometry for the detection of platelet surface glycoprotein expression, are needed to confirm the raised hypothesis.
publisher Springer-Verlag
publishDate 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3249149/
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