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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Low Blood Platelet Count. Bone Marrow Aspiration Cytology Inconclusive. Recommended Trephine Biopsy. Help?

I am suffering from low blood plate count that varies from 0000 to 0000 maximum 0000 in sme certain case. My physician suggest it as ITP and bone marrow aspiration cytology report impression no definite impression can be given as no marrow bits seen and suggest Bonemarrow trephine biopsy . I am in confusion what shall I have to do ?
Wed, 5 Dec 2012
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Pathologist and Microbiologist,  's  Response
hi there, if your platelet counts are constantly low then you do need to get a bone marrow examination done and if the first aspirate was not adequate may be an experienced pathologist can try and do it again a second time. If still it is inconclusive then you may need a bonemarrow triphine biopsy to know the cause of your low platelets. You should also consider the temporary causes of thrombocytopenia and investigate for the same like very common infections like falciparum malaria and dengue to name a few. You need to get reviewed again by an experienced doctor. Do not neglect it as low platelet counts can lead to life threatning conditions in some cases. Take care
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Low Blood Platelet Count. Bone Marrow Aspiration Cytology Inconclusive. Recommended Trephine Biopsy. Help?

hi there, if your platelet counts are constantly low then you do need to get a bone marrow examination done and if the first aspirate was not adequate may be an experienced pathologist can try and do it again a second time. If still it is inconclusive then you may need a bonemarrow triphine biopsy to know the cause of your low platelets. You should also consider the temporary causes of thrombocytopenia and investigate for the same like very common infections like falciparum malaria and dengue to name a few. You need to get reviewed again by an experienced doctor. Do not neglect it as low platelet counts can lead to life threatning conditions in some cases. Take care