Hemostasis

Giant Platelets in Blood Smear: Causes and Significance

Explore the causes of giant platelets in blood smears, including Bernard-Soulier syndrome and myeloproliferative disorders, and their morphological assessment.

Blood smear: giant platelet (macrothrombocyte) in the center of the field of view
Blood smear: giant platelet (macrothrombocyte) in the center of the field of view

Giant platelets (macrothrombocytes) are large-sized platelets that can be a sign of various diseases. Some causes of giant platelets include:

  • Hereditary diseases. For example, Bernard-Soulier disease (macrothrombocytopenia). In this disease, a glycoprotein is absent in the platelet membrane, leading to impaired cell adhesion.
  • Pathological processes in the bone marrow. For example, essential thrombocythemia — a disorder in which the bone marrow produces too many platelets, including giant forms.

🙏 The image and description were kindly provided by biologist Anna Feditskaya, Luhansk.