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Ireland
A 40-year-old female asked:

Mild neutrophilia and thrombocytosis reflected on film. platelet anisocytosis evident. neut-9.12 (10^9/l), wbc-11.57 (10^9/l), hb-13.5gm/dl. 4/28-all normal except plat.482k. sinus inf. lst wk or ida?

1 doctor answer1 doctor weighed in
Dr. Martin Rubenstein
Hematology and Oncology 45 years experience
Probably not IDA: High platelet counts are seen with inflammatory states, iron deficiency, bleeding, and as a primary blood disorder. Usually, with iron deficiency the hemoglobin will be low before the platelet count is high. Normal Hgb, high WBC and high platelets suggests a blood disorder (myeloproliferative neoplasia), but that is not always the case. Persistently abnormal CBC needs a hematologist to evaluate.

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Last updated Jun 28, 2016

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