My doctor first thought I had ITP but as well as low platelets, lowest 7 highest on steroids 104 I also have low white blood count, I have been on steroids but as these were reduced to 15 mg a day my platelets dropped to 25, and my white blood count to 0.4, doc says normal 4-11, but cannot seem to reach a diagnosis, obviously my big scare is cancer, I have had narrow taken and seem to be producing and my spleen Is not enlarged, both counts seem to respond short term to higher doses if steroid prednisidone, I have no signs of bleeding and also feel fine, jus want to get to the bottom of cause ? I have been tested for HIV and Parva virus,
The description of your symptoms are mostly due to Idiopathic thrombocytopenic purpura (ITP) and not due to cancer.
For your information, bleeding tendency and symptoms occur only when the platelet count is very ââlow. The normal platelet count is 1.5 - 4.5 lakhs per cmm.
There are no specific ways to increase platelet counts, other than platelet transfusions. But such ââtransfusions are done only when the platelet counts are very low (less than 20,000 platelets /cmm).
Idiopathic thrombocytopenic purpura or ITP occurs when certain immune system cells produce âantibodies against platelets. In such a situation the possibility of increased platelet destruction due to âpresence of antibodies to platelets results in low platelet counts.
Treatment of ITP is usually symptomatic and the only thing needed is time and patience. In some âcases, steroids (like prednisone) can be started to help in recovery. In resistent cases, âimmunosuppression can be helpful. â
Once a person recovers from the underlying condition causing platelet destruction or reduced âproduction, recovery proceeds in a slow manner. With time, the bone marrow expands , and increases âthe âproduction of platelets, in required amounts. But in some cases, the counts will still be lower, due âto âanti-platelet antibodies, which may destroy the newly produced platelets. â
Over time, as complete recovery occurs, your platelet count will normalize.â Hence there is no need to worry.
"Ask a Doctor" questions are answered by certified physicians and other medical professionals.
For more information about experts participating in the "Ask a Doctor" Network, please visit our
medical experts page.
You may also visit our Blood Disorders , for moderated patient to patient support and information.
The information provided on eHealth Forum is designed to improve, not replace, the relationship between a patient and his/her own physician.
Personal consultation(s) with a qualified medical professional is the proper means for diagnosing any medical condition.