Giant platelet disorders (GPD) refer to rare, usually inherited states
characterized by abnormally large platelets, thrombocytopenia and ble
eding tendency of variable severity. This review summarizes major clin
ical and laboratory features of three GPDs (Bernard-Soulier syndrome,
May-Hegglin anomaly and gray platelet syndrome). Differential diagnosi
s between immunological thrombocytopenia and GPDs is important. Althou
gh rare, giant platelet disorders should be borne in mind, since bleed
ing tendency in some individuals may be severe and knowledge of bleedi
ng diathesis is of importance before delivery or surgical procedures a
lso in less symptomatic individuals.