What causes sudden drop of platelet count in blood?
Hello dear. You require investigations
Hello dear. Welcome to HCM. I have gone through the details. Before proceeding to splenectomy, I advise you to undergo some more tests as your case has not been properly investigated in my opinion. I would like to have following investigations:
Complete blood counts
S. LDH, Kidney and liver function tests
A repeat bone marrow aspirate and biopsy
An excision biopsy of the lymph node if enlarged.
The differential diagnosis will be a low grade lymphoma or some chronic infection. As of now i do not recommend a spleenectomy
Please revert back with the reports.
Thanks and regards
Hep B and Hep C antibody are non reactive. ANA and RA qualitative are negative.
Hello dear. I would like to see your PET SCAN
Hello dear. I have gone through the details. I would like to see the peripheral smear of blood, direct coombs test, bilirubin indirect levels, and if possible a PET directed biopsy of any hot spot lesion.
It will be difficult to draw a final conclusion without these reports.
Removing a spleen is a major issue and removing it without arriving at a diagnosis can be hazardous.
Thanks and regards.
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