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Child Has Bruises On Body. CBC Shows High Platelets, Lymphocytes. Taking Prednisolone But Levels High
hellow how are you dr my daughter story begin in april ,before six month , i took her to ER after noticing bruises in her body so CBC done for showed low plt it was10 with high lymphocyte and low neutrophilis so peripheral smear and bone marrow aspiriation done for her showed normal result then ivig given for her and her platlate increase gradully to 280 after weeks dropped again so dr suggest to start predinsolone ,now platlate ok after 5months treatment but with tapering the predinsolobe the lympoocyte become high again ????
Fri, 20 Sep 2013
Hello,
Thanks for the query to H.C.M. Forum.
Low platelets count is known as thrombocytopenia as in your daughter case and sometimes we don't find any cause of this disorder and we call it as idiopathic thrombocytopenic purpura , need not to worry . Is such situation occurs plenty of fluid orally helps ,if there are no any other sign or symptoms.
If platelets count decreases less then 50000 /c mm then we have to interfere otherwise no need particularly in so young child.
If fever occurs then think about serological test for any virus.
The drug of choice has given and results were very nice as you noted.
But drawback of this regime is that it increases lecocytes ( lymphocytes) , but need not to worry .
Once you stop prednisolone patient will recover within 7 days i.e. lymphocytes count will come down without any treatment as I have noted in so many patients.
Bruise were due to decrease level of platelets so don't take it otherwise as this is known as petechial hemorrhage. Normal count is 150000-4.50000 /c mm .
If platelets decreases once again then consult a hematologist and get his opinion.
Good luck for your daughter.
Dr. HET
Thanks for the query to H.C.M. Forum.
Low platelets count is known as thrombocytopenia as in your daughter case and sometimes we don't find any cause of this disorder and we call it as idiopathic thrombocytopenic purpura , need not to worry . Is such situation occurs plenty of fluid orally helps ,if there are no any other sign or symptoms.
If platelets count decreases less then 50000 /c mm then we have to interfere otherwise no need particularly in so young child.
If fever occurs then think about serological test for any virus.
The drug of choice has given and results were very nice as you noted.
But drawback of this regime is that it increases lecocytes ( lymphocytes) , but need not to worry .
Once you stop prednisolone patient will recover within 7 days i.e. lymphocytes count will come down without any treatment as I have noted in so many patients.
Bruise were due to decrease level of platelets so don't take it otherwise as this is known as petechial hemorrhage. Normal count is 150000-4.50000 /c mm .
If platelets decreases once again then consult a hematologist and get his opinion.
Good luck for your daughter.
Dr. HET
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