Thromb Haemost 1966; 15(01/02): 084-092
DOI: 10.1055/s-0038-1649413
Originalarbeiten — Original Articles — Travaux Originaux
Schattauer GmbH

Adhesiveness of Blood Platelets in Uremia[*]

E. W Salzman**
1   Department of Surgery, Harvard Medical School and Surgical Services, Massachusetts General Hospital, Boston, Mass., U.S.A
,
Lena L. Neri
1   Department of Surgery, Harvard Medical School and Surgical Services, Massachusetts General Hospital, Boston, Mass., U.S.A
› Author Affiliations
Further Information

Publication History

Publication Date:
27 June 2018 (online)

Summary

Platelet adhesiveness, measured by an in vitro technique, has been found abnormal in 21 of 24 patients with chronic renal failure. This abnormality was strongly correlated with prolongation of the Ivy bleeding time, with abnormal prothrombin consumption, and with clinical bleeding.

The possible pathogenesis of this defect is discussed.

Supported by grants from the Massachusetts Heart Association and the National Heart Institute of the II. S. Public Health Service.


* Presented in part at the Xth Congress of the International Society of Hematology, Stockholm, 1964.


** Fellow of the Medical Foundation, Inc., Boston.


 
  • References

  • 1 Altschuler G, Marcus A. J, Ullman H. C. Platelets and platelet phosphatides in uremia. Blood 16: 1439 1960;
  • 2 Born G. V. R. Aggregation of blood platelets by adenosine diphosphate and its reversal. Nature (Lond) 194: 927 1962;
  • 3 Caen J. Adhesion des plaquettes aux lèvres de la plaie vasculaire et aggrégation entre elle. Proc. XXII Congr. Internat. Union Physiol. Sei., Leiden 1962; 248.
  • 4 Cahalane S. F, Johnson S. A, Monto R. W, Caldwell M. J. Acquired thrombocytopathy : observations on coagulation defect in uremia. Amer. J. clin. Path 30: 507 1958;
  • 5 Cheney K, Bonnin J. A. Haemorrhage, platelet dysfunction, and other coagulation defects in uremia. Brit. J. Haematol 08: 215 1962;
  • 6 Donner L, Neuwirtova R. Hemostatic defect of acute and chronic uremia. Thrombos. Diathes. haemorrh. (Stuttg) 05: 319 1960;
  • 7 Hardisty R. M, Dormandy K. M, Hutton R. A. Thrombasthenia: Studies on three cases. Brit. J. Haematol 10: 371 1964;
  • 8 Hellem A. J. Adhesiveness of human blood platelets in vitro. Scand. J. clin. Lab. Invest. 12. 51 1960
  • 9 Hellem A. J, Ödegaard A. E, Sålhegg B. A. Platelet adhesiveness in chronic renal failure. Xth Congress of Internat. Soc. Hematol., Stockholm. 1964
  • 10 Ivy A. C, Nelson D, Bucher G. Standardization of certain factors in the cutaneous “venestasis” bleeding time technique. J. Lab. clin. Med 26: 1812 1941;
  • 11 Kuhlbäck B. Bleeding tendency in chronic renal failure. Acta med. scand 157: 174 1957;
  • 12 Larrain C, Adelson E. Hemostatic defect of uremia. Blood 11: 1059 1956;
  • 13 Lewis J. H, Zucker M. B, Ferguson J. H. Bleeding tendency in uremia. Blood 11: 1073 1956;
  • 14 Merskey C. Laboratory diagnosis of haemophilia. J. clin. Path 03: 301 1950;
  • 15 Rath C. E, Maillard J. A, Schreiner G. E. Bleeding tendency in uremia. New Engl. J. Med 257: 808 1957;
  • 16 Salzman E. W. Measurement of platelet adhesiveness. J. Lab. clin. Med 62: 724 1963;
  • 17 Strehler B. C, Totter J. R. In: Methods of Biochemical Analysis. Ed. Glick D. 01 341 1954. Interscience; London.:
  • 18 Willoughby M. L. N, Crouch S. Haemorrhagic tendency in renal failure. Brit. J. Haematol 07: 315 1961;