Table 1.

Cause or Causes of Uremic Bleeding?

Platelet abnormalities  
 Subnormal dense granule content 
 Reduction in intracellular ADP and serotonin  
 Impaired release of the platelet α-granule protein and β-thromboglobulin 
 Enhanced intracellular cAMP  
 Abnormal mobilization of platelet Ca2+ 
 Abnormal platelet arachidonic acid metabolism  
 Abnormal ex vivo platelet aggregation in response to different stimuli  
 Defective cyclooxygenase activity 
 Abnormality of the activation-dependent binding activity of GP IIb-IIIa  
 Uremic toxins, especially parathyroid hormone 
Abnormal platelet-vessel wall interactions  
 Abnormal platelet adhesion  
 Increased formation of vascular PGI2 
 Altered von Willebrand factor  
Anemia  
 Altered blood rheology  
 Erythropoietin deficiency  
Abnormal production of nitric oxide  
Drug treatment  
 β-Lactam antibiotics 
 Third-generation cephalosporins  
 Nonsteroidal antiinflammatory drugs 
Platelet abnormalities  
 Subnormal dense granule content 
 Reduction in intracellular ADP and serotonin  
 Impaired release of the platelet α-granule protein and β-thromboglobulin 
 Enhanced intracellular cAMP  
 Abnormal mobilization of platelet Ca2+ 
 Abnormal platelet arachidonic acid metabolism  
 Abnormal ex vivo platelet aggregation in response to different stimuli  
 Defective cyclooxygenase activity 
 Abnormality of the activation-dependent binding activity of GP IIb-IIIa  
 Uremic toxins, especially parathyroid hormone 
Abnormal platelet-vessel wall interactions  
 Abnormal platelet adhesion  
 Increased formation of vascular PGI2 
 Altered von Willebrand factor  
Anemia  
 Altered blood rheology  
 Erythropoietin deficiency  
Abnormal production of nitric oxide  
Drug treatment  
 β-Lactam antibiotics 
 Third-generation cephalosporins  
 Nonsteroidal antiinflammatory drugs 

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