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Bleeding one week after a blood transfusion
    Differential Diagnosis[Top] [Nav]
post-transfusion purpura due to anti-platelet antibodies
    Discussion -- not available online[Top] [Nav]
    Update Comments[Top] [Nav]
  • Identifies PLA2 antigen as a major risk factor for coronary disease [104]
  • Concludes that PLA2 antigen is not a cardiovascular risk. [105]
  • Editorial on Ridker and Weiss papers. [106]
  • PLA2 antigen increases risk of coronary stent thrombosis. [108]
  • PLA1/PLA1 and PLA1/PLA2 have the same tendency to aggregate in the absence of aspirin. In the presence of aspirin, however, PLA1/PLA2 have a ten-fold reduction in their aggregation tendency compared to the effect on PLA1/PLA1 platelets. [109]
  • Two-time Olympic gold medal skater Sergei Grinkov died in 1995 of a myocardial infarction at age 28. His only known cardiovascular risk factor was PLA2 antigen. [107]
    Footnotes in Print Edition[Top] [Nav]
    (-) Post-transfusion purpura: a heterogeneous syndrome.
  Zeigler Z, Murphy S, et al.   Blood 1975 Apr;45(4):529-36.  Pubmed+Abstract  Similars
    (-) Immune thrombocytopenias and platelet antibodies.
  Moore SB.   Mayo Clin Proc 1982 Dec;57(12):778-80.  Pubmed  Similars
    (-) Case records of the Massachusetts General Hospital. Weekly clinicopathological exercises. Case 8-1988. A 65-year-old woman with endometrial carcinoma and thrombocytopenia of recent origin.
  N Engl J Med 1988 Feb 25;318(8):500-8.  Pubmed  Similars
    New References[Top] [Nav]
    101.Post-transfusion purpura.
  Mueller-Eckhardt C.   Br J Haematol 1986 Nov;64(3):419-24.  Pubmed  Similars
    102.Post-transfusion purpura.
  Waters AH.   Blood Rev 1989 Jun;3(2):83-7.  Pubmed+Abstract  Similars
    103.Post-transfusion purpura: a report of five patients and a review of the pathogenesis and management.
  Vogelsang G, Kickler TS, et al.   Am J Hematol 1986 Mar;21(3):259-67.  Pubmed+Abstract  Similars

PLA2 antigen and cardiovascular risk
    104.A polymorphism of a platelet glycoprotein receptor as an inherited risk factor for coronary thrombosis [see comments].
  Weiss EJ, Bray PF, et al.   N Engl J Med 1996 Apr 25;334(17):1090-4.  Pubmed+Abstract  Similars
    105.PIA1/A2 polymorphism of platelet glycoprotein IIIa and risks of myocardial infarction, stroke, and venous thrombosis [see comments].
  Ridker PM, Hennekens CH, et al.   Lancet 1997 Feb 8;349(9049):385-8.  Pubmed+Abstract  Similars
    106.Platelet alloantigens: cardiovascular as well as immunological risk factors? [comment].
  Newman PJ.   Lancet 1997 Feb 8;349(9049):370-1.  Pubmed  Similars
    107.Flaws of the heart: sudden death in athletes is often caused by cardiac defects.
  Fackelmann K.   Science News. 1996;150:76-77.
    108.Platelet glycoprotein IIIa polymorphisms and risk of coronary stent thrombosis [see comments].
  Walter DH, Schachinger V, et al.   Lancet 1997 Oct 25;350(9086):1217-9.  Pubmed+Abstract  Similars
    109.PlA2 polymorphism and efficacy of aspirin [letter].
  Cooke GE, Bray PF, et al.   Lancet 1998 Apr 25;351(9111):1253.  Pubmed  Similars
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    ©1986-2000 John Sotos, MD. All rights reserved.  Last updated 16:35 PDT on July 4, 2000.[Top]

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