Platelet Dysfunction in Patients with Vitamin B12 Deficiency

Abstract
Ten cases of pernicious anemia were reported in which 6 had abnormal aggregation with epinephrine, 3 with fibrinogen, 2 with ADP and 2 with ristocetin. Five patients had thrombocytopenia and 3 of these had a prolongation of the bleeding time. These abnormalities were normalized after vitamin B12 treatment. After treatment, platelet size changed toward a smaller diameter, but platelet size, however, was not signivicantly different from the normal platelet size distribution.

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