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Forum Name: Hematology Topics

Question: Low platelets, low WBC, High RBC


 cheimon - Wed Nov 04, 2009 3:04 pm

Hi! (Im from Spain, so Im really sorry if my english isn't good)
I'm 19 years old. I don't take any drugs or drink alcohol. For 2 more than 2 years I had had my platelets and white blood cells low, and my red blood cells high, here are the blood tests I've done:



Date 01, 2008 04, 2008 06, 2008 05, 2009 10, 2009 normal
Red
Hematies 4.9 4.24 4.32 4.65 5.02 4 - 4.5Hemoglobina 17 14.4 14.4 15.6 16.6 13 - 18
hematocrito 48.8 43.5 43.5 45.7 48.8 38 - 53
Vol. C. M. 99 103 103 98 97 80 - 98Hemo. C. M. 35 34 34 34 33 26 - 34
Con.Hemo.Corp.Med.35 33 33 34 34 32 - 36

White
Leucocites 3.7 3.7 3.2 2.9 3.8 4.5 - 10.5
Segmentated 52 51 59 49 55 40 - 70
"Cayados" 1 1 1 1 1 0 - 1
Linfocites 38 32 32 39 36 20 - 40
Monocites 5 11 4 9 7 0 - 10
eosinofils 4 5 4 2 1 0 - 6
basofils 0 0 0 0 0 0 - 1

Platelets 149 122 116 85 107 150 - 450

Vel. Sedimentation 1 2 2 2 1 1 - 15

The biochemical values were all in normal levels (glucose, cholesterol, creatinine, urea, sodium, T4, THS, Uric Acid, aldolase, triglicerides, AST, ALT.)

My doctor said that as long as my platelets don't go below 100 again, I won't need a bone marrow test.

I have some questions, I hope you can help me:
1. Do you have an idea of why I could have these levels?
2. Is there any parameter that I can include in my next blood test to have clues of what I have? (like Iron, vitamines, ferritine, or something)
3. Do you have any recomendations I should follow (diet, lifestyle, etc)

Thank you very much!
 Dr.M.jagesh kamath - Sat Aug 28, 2010 5:31 am

User avatar Hello,Mild thrombocytopenia is what you have and 150,000 to 450,000 is the range.This may not be of significance in your case.However a bleeding or clotting disorder may prompt for further testing and a bone-marrow.Enlargement of spleen again is a pointer for further investigations.Drugs taken also can lower the count.Auto immune disorders,bacterial infections,idiopathic thrombocytopenic purpura are some of the conditions lowering the platelet count.
Your doctor is right in his suggestion and get repeat test after sometime.
Best wishes.

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