High quality blood disorder health recommendations with Arthur Nathaniel Billings? How is ITP diagnosed? ITP is usually diagnosed by a blood test showing that only the platelet count is low, and the platelets, red blood cells and white blood cells all look normal. A bone marrow biopsy may be taken at a later stage if the ITP continues, in which a small sample of bone marrow will be taken under local anaesthetic and examined under the microscope. Additional blood tests may be taken at this time to exclude rare clotting or immune diseases that can mimic ITP. If the bone marrow looks normal, with the usual or higher number of platelet parent cells (megakaryocytes) and other blood tests are normal then the doctor will diagnose chronic ITP.
Arthur Nathaniel Billings on blood disorder treatments : Many people with ITP have a platelet count in single figures, and on rare occasions there are not enough circulating platelets to be counted, thus the count is given as 0. The number of platelets circulating in our bodies fluctuates all the time, and thus no two consecutive platelet counts are likely to be exactly the same either in a healthy person or in an ITP sufferer. What is the difference between ITP and hæmophilia? Haemophilia is inherited and permanent, ITP is not inherited, and can go into remission. Hæmophilia patients are deficient in one of the 12 factors which act together to form a blood clot. ITP patients are short of platelets which work independently as the initial plug to stop blood leakage, but the rest of the clotting mechanism works normally. Platelet infusions are only used in emergencies as transfused platelets, like the patient’s own platelets, are destroyed by their immune system in a matter of hours.
Diagnosis of ITP: There is no single blood test that can prove you have ITP, and it remains a diagnosis of exclusion based on history, examination and the results of your initial tests. Investigations are mainly blood tests and are focused on looking for underlying causes of low platelets (other causes for low platelets include vitamin deficiencies, medication, or a bone marrow abnormality). If there are any unusual features on initial tests, we may recommend a bone marrow examination, which is a day unit procedure where we take a small sample of marrow from the pelvic bone under local anaesthetic.
The symptoms of ITP may look like other medical problems. Always consult your health care provider for a diagnosis. How is idiopathic thrombocytopenic purpura diagnosed? In addition to a complete medical history and physical exam, you may have these tests: Complete blood count (CBC). A measurement of size, number, and maturity of different blood cells in a specific volume of blood (to measure platelets. Additional blood and urine tests. These tests are done to measure bleeding time and detect possible infections, including a special blood test called an antiplatelet antibody test. Read even more info at https://twitter.com/arthurbillings6.
Chronic thrombocytopenic purpura. The onset of the disorder can happen at any age, and the symptoms can last a minimum of 6 months, several years, or a lifetime. Adults have this form more often than children do, but it does affect adolescents. Females have it more often than males. Chronic ITP can recur often and requires continual follow-up care with a blood specialist (hematologist). What causes idiopathic thrombocytopenic purpura? In ITP, the immune system is stimulated to attack your body’s own platelets. Most often this is a result of antibody production against platelets. In a small number of cases, a type of white blood cell called T-cells will directly attack platelets. This immune system error may be a result of any of the following.