I am trying to educate myself some more on CBC results. My son was diagnosed over 7 months ago with ITP and some of the labs results have me concerned. After 7 months we are finally getting in to see a specialist in a couple weeks.
I am concerned there may be something more going on, initially when diagnosed I brought him in to his primary due to sever bruising, he had no viral or bacterial infection and his platelet count was 18,000. Within a week he was at 4,000. He had mucosal bleeding and received IVIG. He responded great for a few weeks and since has been up and down with a low of 20,00 and high of 92,000. This weeks abnormal labs are as followed:
RBC SHAPE: POIKILOCYTOSIS
RBC SIZE: ANISOCYTOSIS
Does any of this point to possibly something more than ITP?
The symptoms you mentioned clearly indicates Immune Thrombocytopenic Purpura (ITP). This is a condition in which the body’s immune system mistakenly identify the platelets as pathogen and destroy them. This reduces the platelet counts. In children, usually, this doesn’t require any treatment in case of children as the problem resolves spontaneously. Immunosupressor IV could be administered if rapid platelet growth is required. For further information, you can ask a doctor online at free doctor helpline.