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Semin Thromb Hemost 2014; 40(05): 526-534
DOI: 10.1055/s-0034-1381235
Thieme Medical Publishers 333 Seventh Avenue, New York, NY 10001, USA.

Sticky Platelet Syndrome: History and Future Perspectives[*]

Peter Kubisz
1   Department of Haematology and Transfusion Medicine, National Center of Haemostasis and Thrombosis, Jessenius Faculty of Medicine in Martin of the Comenius University in Bratislava, University Hospital in Martin, Martin, Slovakia
,
Guillermo J. Ruiz-Argüelles
2   Centro de Hematología y Medicina Interna, Clínica Ruiz, Puebla, México
3   School of Medicine, Universidad de las Américas, Puebla, México
4   School of Medicine, Universidad Popular Autónoma del Estado de Puebla, Puebla, México
,
Jan Stasko
1   Department of Haematology and Transfusion Medicine, National Center of Haemostasis and Thrombosis, Jessenius Faculty of Medicine in Martin of the Comenius University in Bratislava, University Hospital in Martin, Martin, Slovakia
,
Pavol Holly
1   Department of Haematology and Transfusion Medicine, National Center of Haemostasis and Thrombosis, Jessenius Faculty of Medicine in Martin of the Comenius University in Bratislava, University Hospital in Martin, Martin, Slovakia
,
Guillermo J. Ruiz-Delgado
2   Centro de Hematología y Medicina Interna, Clínica Ruiz, Puebla, México
3   School of Medicine, Universidad de las Américas, Puebla, México
› Author Affiliations
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Publication History

Publication Date:
09 June 2014 (online)

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Abstract

The sticky platelet syndrome (SPS) is a thrombophilic qualitative platelet disorder with familial occurrence and autosomal dominant trait, characterized by increased in vitro platelet aggregation after low concentrations of adenosine diphosphate and/or epinephrine. Its clinical manifestation includes arterial thrombosis, pregnancy complications (fetal growth retardation and fetal loss), and less often venous thromboembolism. SPS was considered to be a rare thrombophilic disorder, but it can be found relatively often as a cause of unexplained thrombosis, particularly among patients with arterial thrombosis such as stroke. The syndrome was recognized as a distinct disorder in 1983 by Holiday and further characterized in the 1980s and 1990s, with Mammen and Bick providing the key findings. Although recognized for more than 30 years, significant issues, namely the syndrome's etiology, inheritance, and epidemiology, remain unclear. The aim of the first part of this review is to summarize the previous 35 years of the research into, and to provide a brief historical account of, SPS. The history section is focused particularly on the work of two most prominent investigators: Eberhard F. Mammen and Rodger L. Bick. The second part summarizes the present understanding of the syndrome and outlines unresolved issues and the trends in which the future research is likely to continue.

Keywords

sticky platelet syndrome - platelet hyperaggregability - thrombophilia - platelet disorders - acetylsalicylic acid

* Dedicated to the early pioneers in SPS, particularly to Drs. Eberhard F. Mammen (1930–2008) and Rodger L. Bick (1943–2008).


 

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