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 |