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Thrombocytopaenia

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Thrombocytopaenia is a decrease in the number of platelets in the blood - it reduces the ability of the blood to clot and is thus a bleeding diathesis. It is defined as a platelet count less than 100 x 10^9/L (<100,000 per cubic mm).

In addition, it is important to consider also the causes of apparent thrombocytopaenia - i.e. conditions where there is platelet dysfunction.

Neonatal thrombocytopaenia has a modified differential diagnosis.

A suggested management of low platelet count in adults:

 

Flowchart detailing the diagnostic approach to thrombocytopenia, including causes like viral infections and drugs, and guidance based on platelet count levels with specific medical actions like urgent outpatient referral and monthly monitoring.

Reference:

  1. Provan D, Arnold DM, Bussel JB, et al. Updated international consensus report on the investigation and management of primary immune thrombocytopenia. Blood Adv. 2019 Nov 26;3(22):3780-817.

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