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Living with Platelet-type bleeding disorder 19

A rare inherited platelet disorder with low platelet counts and large platelets, causing nosebleeds, bruises and heavy periods.

Understanding Platelet-type bleeding disorder 19

Platelet-type bleeding disorder 19 is a rare inherited disorder with large platelets (giant platelets), a low platelet count and platelets that do not work well.

It starts in infancy. Platelets are not formed or activated properly. This leads to repeated bleeding episodes, including nosebleeds, bruises that form on their own and heavy menstrual periods.

Signs & symptoms

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

  • Nosebleeds
  • Bruises (hematomas) that form on their own
  • Heavy menstrual periods
  • Low platelet count (thrombocytopenia)
  • Large platelets (macrothrombocytopenia)
  • Low red blood cells (anemia)

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. Consider genetic testing

    Changes in PRKACG are linked to this condition. Genetic testing and counseling can help confirm a diagnosis and explain what it means for your family.

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
Should we have genetic testing for PRKACG, and should siblings be tested?
How often should platelet counts and red blood cells be checked?
How should bleeding be managed during surgery or dental work?

Quick facts

Symptoms usually startInfant
InheritanceAutosomal Recessive
GenesPRKACG

Changes in the PRKACG gene cause this condition. It is autosomal recessive, meaning a child inherits a changed copy of the gene from each parent.

GeneticBlood

Also known as: bdplt19; isolated hereditary giant platelet disorder caused by mutation in prkacg; prkacg isolated hereditary giant platelet disorder; severe autosomal recessive macrothrombocytopenia

Patient organizations

Source: NIH GARD · Platelet-type bleeding disorder 19GARD ID 17738 · 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 Platelet-type bleeding disorder 19.

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