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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Is Biopsy Essential For Patients With Fluctuating WBC & Platelet Cunt?

Hello, I have had fluctuating wbc and platelets for the past few years. They seem to get lower than normal and on the next check up go back to normal. After my last check, my dr put me on prednisone for 14 days (currently on), and he also mentioned doing a bone marrow biopsy. Should I be worried? Is the biopsy necessary in this case? Other than the blood tests I have no symptoms of anything being wrong.
Mon, 25 Aug 2014
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Infectious Diseases Specialist 's  Response
Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that biopsy is necessary in your case to diagnose which causes fall in the platelets and WBC. Any cause which causes fluctuation in the platelets and WBC for about a year requires a biopsy to rule out the cause. Many a time auto antibody is present against the megakaryocytes, which may cause fluctuation in platelets and WBC this cases is ruled out by the biopsy. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank
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Is Biopsy Essential For Patients With Fluctuating WBC & Platelet Cunt?

Hello, Thnx to contact us. If I am your treating doctor I would like to advice you that biopsy is necessary in your case to diagnose which causes fall in the platelets and WBC. Any cause which causes fluctuation in the platelets and WBC for about a year requires a biopsy to rule out the cause. Many a time auto antibody is present against the megakaryocytes, which may cause fluctuation in platelets and WBC this cases is ruled out by the biopsy. If you have anything else to ask please contact me. Thanx. Dr. Arun Tank