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Immune Thrombocytopenia is Still the Commonest Diagnosis on Consultative Hematology

Authors
  • Nampoothiri, Ram V.1
  • Singh, Charanpreet1
  • Lad, Deepesh1
  • Prakash, Gaurav1
  • Khadwal, Alka1
  • Varma, Neelam2
  • Malhotra, Pankaj1
  • 1 Postgraduate Institute of Medical Education and Research (PGIMER), Department of Internal Medicine, Chandigarh, 160012, India , Chandigarh (India)
  • 2 Post Graduate Institute of Medical Education and Research, Department of Hematology, Chandigarh, India , Chandigarh (India)
Type
Published Article
Journal
Indian Journal of Hematology and Blood Transfusion
Publisher
Springer India
Publication Date
Dec 13, 2018
Volume
35
Issue
2
Pages
352–356
Identifiers
DOI: 10.1007/s12288-018-1045-7
Source
Springer Nature
Keywords
License
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Abstract

Thrombocytopenia is often a source of concern for physicians and patients alike and is one of the commonest reasons for a hematology consultation. Through this study, we wish to ascertain the different etiologies which should be kept in mind by a hematologist when a consultation for thrombocytopenia is sought. We assessed the etiology & clinical features of thrombocytopenia seen on consultative hematology calls for patients admitted in the general ward of a tertiary care hospital. 88/277 hematology consultations taken over a course of 2 months were for thrombocytopenia. The median age of these patients was 30 years, 62.5% were female, and median platelet of 40,500/µL (1000–112000). Mild, moderate & severe thrombocytopenia was seen in 6.8%, 27.3% and 65.9% respectively. 50% of patients had a primary hematological diagnosis. Immune thrombocytopenia (ITP) was the commonest diagnosis (38.6%). Bleeding manifestations were present in 48.9% patients with 20.5% having a major bleed. One third of hematology consultations in the general ward and emergency of a tertiary care hospital are for thrombocytopenia. Almost in half, the etiology of thrombocytopenia is related to a primary hematological disorder. This information should help in decision making of use of appropriate resources.

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