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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Suffering With Hepato-splenomegaly, Heavy Petiaches Over Body, Advised Liver Biopsy. What Is The Cause?

hi i`m 26 y i have hepato- splenomegaly i don`t have hepatitis C ,B my platelet count is 160.000 and my WBCs is 3.5 i have alot of petechiaes all over my body espicailly on shoulders ,back ,buttocks , legs also have bruising and epstaxis plz first how can i get of these petechiaes as soon as possible and what may be my Diagnosis my Doc ask me to do liver biopsy and i will do it next month
Fri, 17 Aug 2012
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Gastroenterologist 's  Response
Hello, ahmedemad,
I am sure you are very concerned about this problem. At least I see that viral
causes such as Hepatitia B & C have been ruled out. Your platelet count is not
very low .This does not explain easy brusing or your rash, White cell count is
low.
Enlarged liver and spleen can be caused by a lot of conditions.
These include, infections, parasitic infestations, cirrhosis of the liver related to
heavy drinking, blood cancers such as Lymhoma , and also there are some
metabolic disorders such as glycogen storage disease (This may be genetic),
Amyloidosis or even Lupus .
I know , I am giving you a lot to think about. You do need to see a blood
specialist. A liver biopsy or if you have enlarged lymph glands in the neck
or groin area, these could biopsied.
Wish you the very best
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Suffering With Hepato-splenomegaly, Heavy Petiaches Over Body, Advised Liver Biopsy. What Is The Cause?

Hello, ahmedemad, I am sure you are very concerned about this problem. At least I see that viral causes such as Hepatitia B & C have been ruled out. Your platelet count is not very low .This does not explain easy brusing or your rash, White cell count is low. Enlarged liver and spleen can be caused by a lot of conditions. These include, infections, parasitic infestations, cirrhosis of the liver related to heavy drinking, blood cancers such as Lymhoma , and also there are some metabolic disorders such as glycogen storage disease (This may be genetic), Amyloidosis or even Lupus . I know , I am giving you a lot to think about. You do need to see a blood specialist. A liver biopsy or if you have enlarged lymph glands in the neck or groin area, these could biopsied. Wish you the very best