Thrombocythaemia in pregnancy
- reactive thrombocytosis (RT) may be responsible for more than 85% of cases with thrombocythaemia
- causes of reactive thrombocythaemia (including inflammation, infection, haemorrhage and iron deficiency) must be excluded before a diagnosis of essential thrombocythaemia (ET) is made
- in women of reproductive age the increased prevalence of iron deficiency should be considered
- note though that, any degree of persistent thrombocytosis, whether or not it fulfils the conventional criterion of being above 600×109/l, must be pursued for the possible diagnosis of ET
- causes of reactive thrombocythaemia (including inflammation, infection, haemorrhage and iron deficiency) must be excluded before a diagnosis of essential thrombocythaemia (ET) is made
Reference:
- Gangat N, Tefferi A. Myeloproliferative neoplasms and pregnancy: overview and practice recommendations. Am J Hematol. 2021 Mar 1;96(3):354-66.
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