What Could One Giant Platelet And Small Clumping Of Platelets In Blood Test Indicate?

Posted on Mon, 24 Mar 2014

Question: i have 3rd nerver palsy. cbc showss 1 giant platelet small clumping of platelets...could this be due to the way the blood was drawn? technican had very difficult time.adding blood to vial a few times,took long time to fill vial if not what would cause large platelet

Answered by Dr. Som Biswas (1 hour later)

Brief Answer: can be a technician error Detailed Answer: Hi, 1 giant platelet and small clumping of platelet can be a technician error. But if multiple giant platelets are seen it can suggest blood disorders like chronic myeloid leukaemia, essential thrombocythaemia or polycythaemia vera. I suggest you repeat your blood test from another good lab. Also can you describe to be more about your third nerve palsy like when and how it happened. Is it on both or one side. Is it painful?

Above answer was peer-reviewed by : Dr. Yogesh D

Follow up: Dr. Som Biswas (1 hour later)

ENT DR.did ENDOSCOPY on my nose and within few hours i had double vision followed by ptsois.this was in Nov. ptsois cleared up but not double visuion. it is my left eye....at onset, was extremely painful but that has subsided to a very small amt pain in spenoid sinus area. had mri in nov...pathology ruled out, my sed rate normaL,WBC NORmAL BUT CRP ELEVATED AT 2.0 BLOOD TEST DONE EVERY TWO WEEKS ENDOSCOPY DONE FOR SINUS PAIN I WEAR PATCH ON AFFECTED EYE

Answered by Dr. Som Biswas (7 hours later)

Brief Answer: Definitely large platelets not related with palsy Detailed Answer: Hi, I am so sorry that after an endoscopy you had palsy. Definitely then the large platelets have no connection with your palsy. I would suggest you to repeat the blood test as it looks mostly a technical error . Also get physiotherapy for your palsy as post procedure palsies generally heal well with physiotherapy unless the ENT surgeon totally cut out the nerve . Do not worry about the blood report.

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Above answer was peer-reviewed by : Dr. Prasad