1999 Volume 45 Issue 11 Pages 727-729
The May-Hegglin anomaly is an extremely rare, autosomal dominant inherited disorder characterized by the triad of thrombocytopenia, giant platelets, and Döhle-like inclusion bodies in granulocytes. As a result of thrombocytopenia, a mild hemorrhagic diathesis may occur clinically, and special consideration is needed for surgical treatment. However, high-dose γ-globulin therapy, cortical steroids, and immunosuppressants are reported to be ineffective. We performed bilateral extraction of impacted wisdom teeth in a patient with May-Hegglin anomaly. Preoperative hematological examination revealed that the platelet count was 5.5×104/μl. We applied cotton type atelocollagen to the extraction cavity, and complete primary hemostasis was obtained. The patient was not given platelet transfusion. No postoperative hemorrhage occurred, and the patient's progress was good.
