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Living with Bernard Soulier syndrome

A bleeding disorder caused by large, low-number platelets, leading to easy bruising and nosebleeds.

Understanding Bernard Soulier syndrome

Bernard-Soulier syndrome is a bleeding disorder in which platelets (blood cells that help blood clot) are unusually large and fewer in number.

This combination is called macrothrombocytopenia. People tend to bruise easily and have nosebleeds. They may bleed heavily or for a long time after minor injury or surgery, or sometimes with no injury. Women often have heavy or long periods. It can show up at any time in life.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Easy bruising and bleeding
  • Frequent nosebleeds
  • Heavy or long periods (menorrhagia)
  • Tiny red or purple spots on the skin (petechiae)
  • Long bleeding after dental work
  • Bleeding in the stomach or gut

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include blood and bone marrow specialists and genetic specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

Care & treatment

Care team
Blood and bone marrow specialists (hematologists); Genetic specialists (geneticists)
Expert care
Ask about multidisciplinary care centers for rare conditions
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with National Bleeding Disorders Foundation
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
Which gene change do I have, and how is it inherited in my family?
What should I do before surgery or dental work?
How can I manage heavy periods or nosebleeds?

Quick facts

Symptoms usually startany time in life
InheritanceAutosomal Dominant, Autosomal Recessive

Changes in genes cause this condition. It can be inherited in an autosomal dominant or autosomal recessive way.

GeneticBlood

Also known as: bernard - soulier thrombopathy; bernard-soulier syndrome; bernard-soulier syndrome, type a1 (recessive); bleeding disorder, platelet-type, 1; bss; giant platelet disease

Patient organizations

Source: NIH GARD · Bernard Soulier syndromeGARD ID 2470 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Bernard Soulier syndrome.

Explore the Bernard Soulier syndrome blog

Explore research for Bernard Soulier syndrome

Explore actively recruiting Bernard Soulier syndrome studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Bernard Soulier syndrome with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
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  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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