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Do The Following Blood Test Reports Indicate Immune Thrombocytopenic Purpura?

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Posted on Thu, 22 Dec 2016
Question: Dear Doctor ,
As per reports, kindly confirm whether it is Idiopathic thrombocytopenia .
and is bone marrow suggested in these cases ,whether bone marrow is required in this case and its relevance .
2) kindly confirm the cause for same in view of alcohol .
doctor
Answered by Dr. Shailja Puri (52 minutes later)
Brief Answer:
Presentation is that of classical ITP, bone marrow examination suggested.

Detailed Answer:
Hello,
Thanks for posting your query on HealthcareMagic.
The prescription form posted by you shows that there is history of fever, joint pain and generalized weakness from 1 month.
This is accompanied by low platelets.
This is characteristic presentation of immune / idiopathic thrombocytopenia purpura (ITP).
Bone marrow aspiration and biopsy have been suggested for cytogenetics. Cytogenetics is an investigation in which any abnormality in chromosomes is detected.
However, for practical purposes viral infection is most common cause of ITP.
A history of fever, joint pains and generalized weakness is supportive of viral infection.
This kind of ITP is called acute onset ITP and usually resolves spontaneously with supportive therapy and immunoglobulins.
A follow up for platelets and immature platelet fraction is required to see for improvement in platelet count.
Alcohol has no direct relation with IPT but consumption of alcohol should be prohibited till full recovery occurs.

If you have more queries, I will be glad to answer.

Thanks and take care
Dr Shailja Puri

Note: Do you have more questions on diagnosis or treatment of blood disorders? Ask An Expert/ Specialist Now

Above answer was peer-reviewed by : Dr. REMY KOSHY
doctor
Answered by
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Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 9705 Questions

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Do The Following Blood Test Reports Indicate Immune Thrombocytopenic Purpura?

Brief Answer: Presentation is that of classical ITP, bone marrow examination suggested. Detailed Answer: Hello, Thanks for posting your query on HealthcareMagic. The prescription form posted by you shows that there is history of fever, joint pain and generalized weakness from 1 month. This is accompanied by low platelets. This is characteristic presentation of immune / idiopathic thrombocytopenia purpura (ITP). Bone marrow aspiration and biopsy have been suggested for cytogenetics. Cytogenetics is an investigation in which any abnormality in chromosomes is detected. However, for practical purposes viral infection is most common cause of ITP. A history of fever, joint pains and generalized weakness is supportive of viral infection. This kind of ITP is called acute onset ITP and usually resolves spontaneously with supportive therapy and immunoglobulins. A follow up for platelets and immature platelet fraction is required to see for improvement in platelet count. Alcohol has no direct relation with IPT but consumption of alcohol should be prohibited till full recovery occurs. If you have more queries, I will be glad to answer. Thanks and take care Dr Shailja Puri