“…Pleomorphic appearance associated with abnormalities of maturation and bizarre and pyknotic forms (naked nuclei) were particularly conspicuous in megakaryocytes of patients with AMM (Buyssens and Bourgeois, 1977;Burkhardt et al, 1984Burkhardt et al, , 1986Georgii et al, 1984a,b;Frisch and Bartl, 1985;Wolf and Neiman, 1987). In vivo studies suggested an essential role of ineffective or defective megakaryopoiesis in fibrillogenesis by the release of mainly two factors: growth factor which stimulated fibroblast proliferation and collagen secretion and factor 4 which inhibited the activity of the enzyme collagenase (Kaplan et al, 1979;Castro-Malaspina et al, 198 1 ;Burstein et al, 1984;Castro-Malaspina, 1984).…”