We need to be aware of rare causes of persistent thrombocytopenia as Bernard-Soulier syndrome (BSS). When BSS is suspected based on family history and giant platelets, genetic test for mutations of GPIbIXV is necessary. Management varies once you recognize the cause. Platelets transfusion and antifibrinolytics are the mainstay of therapy.

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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC5889233PMC
http://dx.doi.org/10.1002/ccr3.1427DOI Listing

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