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Bleeding and Clotting Disorders

Low platelets

06/15/2007

Question:

I have thrombocytophenia with platelets count decreasing as much as 20,000-30,000 a month. Blood tests have shown positive signs of antibodies in my blood. What can be the diagnosis?

Answer:

It is very difficult to say what your diagnosis may be with just that limited information, but on the surface it sounds as though it may be consistent with immune thrombocytopenic purpura (ITP). I cannot tell if you are saying that your platelet count is dropping to 20-30,000 or if it is dropping by 20-30,000 each month.

If your platelet count is near 20-30,000 you need to make sure that you are seen by a hematologist or internist that is familiar with ITP.

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Response by:

Spero R Cataland, MD Spero R Cataland, MD
Associate Professor of Clinical Internal Medicine
College of Medicine
The Ohio State University