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Forum Name: Hematology Topics

Question: Low platelets and low neutrophils in 15 mos old


 rubyq - Sat Oct 27, 2007 10:06 pm

My 15 mos old daughter was referred for a GI workup for failure to thrive, as at about 9 months her growth slowed. The GI Dr. referred us to hematology when she had a low platelet count of 69, I was told normal should be near 200. Blood work was repeated several times this month with the following results. I was told that normal neutrophils are around 1500. These are her readngs.
Platelets 69 Neutros 1400
Platelets 118 Neutros 800
Platelets 200 Neutros 500
Platelets 108 Neutros 884
At this point they told me that they want to do a bone marrow biopsy to see why her levels keep going up and down. They said that they are not considering leukemia but that is what I fear the most. What else could it be? She has no other symptoms, is happy and healthy and now back on track with weight gain. No family history that we know of. We have a consult on Weds., what should I ask? What should I know? Thank you very much for your time.
 Dr. Chan Lowe - Sun Oct 28, 2007 11:58 pm

User avatar Hi Rubyq,

I suspect that the most likely what is causing this is a viral infection. Viruses are well known to cause depressions in platelet count and neutrophils.

Unfortunately, there are some more serious things that can be causing this. Leukemias are possible although if your doctors are not concerned about this it is likely not what is going on.

Based on this information I would agree that a bone marrow biopsy is reasonable. This will give excellent information about what is causing these findings.

Best wishes.

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