Abstract

� Acquired Glanzmann thrombasthenia (GT) is a rare hemorrhagic disorder characterized by the impairment of platelet function caused by inhibition of glycoprotein IIb/IIIa (GpIIb/IIIa) signaling, often by an autoantibody. This disorder has been associated with lymphoproliferative and autoimmune disease. � This report presents a case of a 44-year-old man with severe spontaneous bleeding associated with an antibody-mediated platelet aggregation defect in the setting of a newly diagnosed stage IVB classical Hodgkin lymphoma. The bleeding resolved immediately after ABVD (Adriamycin [doxorubicin]/bleomycin/ vinblastine/dacarbazine) chemotherapy with normalization of platelet aggregation studies. No steroids or other immunosuppressive therapies directed at the antiplatelet antibody were required. � This case shows that chemotherapy directed at underlying Hodgkin lymphoma can promptly resolve bleeding diathesis in acquired GT, although the antiplatelet antibody may persist.

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