RT Journal A1 Spaet TH, Lejnieks I, Gaynor E, Goldstein ML T1 DEfective platelets in essential thrombocythemia JF Archives of Internal Medicine JO Archives of Internal Medicine YR 1969 FD August 1 VO 124 IS 2 SP 135 OP 141 DO 10.1001/archinte.1969.00300180007002 UL http://dx.doi.org/10.1001/archinte.1969.00300180007002 AB Platelets from three consecutive patients with essential thrombocythemia were studied. In each case there were characteristic abnormalities. These included absent aggregation in response to epinephrine and reduced aggregation by adenosine diphosphate. The platelets were aggregated normally by collagen. Uptake by platelets of serotonin labeled with radioactive carbon 14C was reduced, and there was possibly reduced platelet adenosine diphosphatase activity. The platelets supported normal clot retraction, and gave normal platelet factor 3 availability. The abnormality appears to be specific for the disease rather than a nonspecific reflection of thrombocythemia.