A platelet aggregation study shows diminished response to all agonists except for a small response to arachidonic acid and full response to ristocetin. Which condition is most likely?

a. Glanzmann thrombasthenia
b. Aspirin use
c. VWD
d. Platelet release defect


ANS: A
Glanzmann thrombasthenia is diagnosed by its diminished secretion and aggregation responses to all agonists except a modest response to arachidonic acid and full, although nondiagnostic, response to ristocetin.

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