Volume 10, Issue 4 ( December 2018 2018)                   Iranian Journal of Blood and Cancer 2018, 10(4): 133-135 | Back to browse issues page

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Ghorbani M, Niazkar H R, Ejtehadi M M, Mahmoudi R, Abbasnezhad A. Can Macrothrombocytopenia Mislead the Treatment of Idiopathic Thrombocytopenia Purpura? . Iranian Journal of Blood and Cancer 2018; 10 (4) :133-135
URL: http://ijbc.ir/article-1-818-en.html
Can Macrothrombocytopenia Mislead the Treatment of Idiopathic Thrombocytopenia Purpura?
Mohammad Ghorbani1 , Hamid Reza Niazkar * 2, Mohammad Mehdi Ejtehadi3 , Reza Mahmoudi4 , Abbasali Abbasnezhad5
1- MSc of Hematology and Blood Blanking, Faculty member of Gonabad University of medical sciences, Gonabad, Iran
2- Medical Student, Student Research Committee, Gonabad University of Medical Sciences, Gonabad, Iran , hrn185@hotmail.com
3- Laboratory technical manager,Shahid Hasheminejad Hospital,Mashhad University of Medical Sciences,Mashhad,Irane
4- Internist specialist,Department of Internal Medicine, Faculty of Medicine, Gonabad University of Medical Sciences
5- Department of Physiology, Faculty of Medicine, Gonabad University of Medical Sciences, Gonabad, Iran
Abstract:   (4492 Views)
Idiopathic thrombocytopenia purpura (ITP) is an autoimmune disorder characterized by isolated thrombocytopenia and mucocutaneous bleeding. The former has a primary role in the diagnosis and treatment of ITP. One of the leading causes of miscounted platelets in patients who suffer from ITP is giant platelets which may indicate factitiously a severe false thrombocytopenia. Here, a case of macrothrombocytopenia is presented in an ITP patient. Giant platelets of this patient not only resulted in miscounting platelets but also falsely increased reading of RBC counts. By counting platelets through peripheral blood smear and hemocytometer, the patient was saved from an unnecessary splenectomy.
Keywords: Idiopathic thrombocytopenic purpura, Giant platelet, Macrothrombocytopenia, Factitious thrombocytopenia
Full-Text [PDF 829 kb]   (2856 Downloads)    
: Case report | Subject: Adults Hematology & Oncology
Received: 2018/08/2 | Accepted: 2018/11/10 | Published: 2019/01/5
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