Quebec platelet disorder
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Pathology
- bleeding disorder due to a gain-of-function defect in fibrinolysis
- markedly increased platelet PLAU levels causes intraplatelet plasmin generation & secondary degradation of alpha-granule proteins
Genetics
- autosomal dominant
- associated with defects in PLAU (urokinase)
Clinical manifestations
- delayed onset bleeding after challenge, such as surgery
- no systemic fibrinolysis