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can platlets increase without treatment in less than 50 hours

Leelandking profile image
5 Replies

Can your platlet count go from 60,000 to 152,000 in less than 50 hours without and treatment.

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Leelandking profile image
Leelandking
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5 Replies
Morgan profile image
Morgan

Your platelets are changing all the time. I have no treatment and they can range from 23 to 80.

Tenk profile image
Tenk

Yes. Enjoy the boost!

NickyD profile image
NickyD

Platelets are strange things. They can go up and down like a fiddler's elbow.

Judethegardener profile image
Judethegardener

These replies are so heartening and so true Lee. I always imagine my poor old bone marrow churning out newbie platelets and some rogue autoimmune rascal doing its best to set them up to be wiped out. I back my bone marrow every time. ITP arrived in my late twenties. Now 74 I'm glad that I felt I could trust my body, and never had treatment. I feel very lucky.

Kyriak51 profile image
Kyriak51

Yes, it depends on method used to count platelets, the automatic machine and a manual count. In ITP the platelets are of different size and shape, the does not recognize or count all platelets. In the manual count a slide containing a blood sample is examined under a microscope and platelets are counted by a human technician. At one clinic my auto count os 22K became 115K with technician A but 30K with technician B, prefer the auto count due great variability with human technicians. A manual count is time consuming and more expensive but is preferable for initial diagnosis but not for weekly counts. During clinical trials for a Nplate auto counts were used and were the basis for dosing guidelines. Nplate is to be given to maintain a platele count of 50K, if counts were 200K for 2 weeks dose is reduced by 1mcg/kg.

When I started in 2010 I didn’t know the lab was using manual counts for dosing decisions and I to sick to argue with the “almighty God” doctor who didn’t know or cared about dosing guidelines when refused to give me Nplate as my count was 300K ( manual count) the following week my platelets dropped to 9K. Needless to say I demanded auto counts and gave him a copy of dosing guidelines; it took me several weeks to recover my counts.

Were both counts auto or was the 152 thousand a manual count? As I tell my patients, “the more you know about your disease the better the care you’re likely to receive”. Check out mayoclinic.org site for good information, be well:) kyriak51

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