It depends on the population in question. Africans generally have lower thresholds for defining thrombocytopenia; typically figures of 100 and below are considered thrombocytopenic in this population.
Because of in an asymptomatic people (just as i think in your case) a PLT value close to the lower limit have to consider as its normal value. On the contrary could be considered as thrombocytopenia if demontrating a progressive decrise, starting from higher values
By definition, yes (anything below the normal range). However, it will be labelled either 'borderline' or 'mild' and clinically be insignificant.
Best wishes
Siva
At this level it is considered as adequate as it is unlikely to produce bleeding tendency
This platelet count should be taken as normal unless there is a documented significant decrease from a much higher value. Though 1,50,000/cumm is described as lower limit, lower counts may be constitutional in many cases. Unless this patient has any clinical symptoms or progressively dropping counts, it should not be a concern. It should also be kept in mind that cell counters can under-estimate platelet counts in certain situations, for eg. when there are giant platelets or platelet clumps.
No Gloria, In Nigeria our reference range is actually 100 - 350 x 109/L
Have you ever seen a mortile case of ITP due to thrombocytopenia up to now?
Any count lower than an established reference range of platelets would be considered thrombocytopenia scientifically. So any group can standardized & established their own reference range with normal platelets counts.
Up to now, I have never seen a mortile case due to thrombocytopenia. Even cases with chronic ITP may have some survival advantages since myocardial infarction and stroke are some of the major causes of death in the world, and the role of thrombocytes in them is well-known. Thus we advice to use low dose aspirin once a day above the age of 50 years for majority of patients. Even well-functioning 1.000 thrombocytes/mm3 are enough to prevent bleeding I think.
Yes, because platelet count below the lower normal value. Follow up for continuous fall in platelet count is indicated.
No. Thrombocytopenia means platelets count less than 20 thousends per cm.
Sorry
I disagree with Mbarak opinion. 20000 platelets are below the recommended threshold for transfusion in many clinical situations. SHOCK, Vol. 47, No. 5, pp. 537–549, 2017
This does not cause any important clinically complication but it might need to be considered and followed up. But if you consider if it is scientifically (for the results of a research) thrombocytopenia, I should say, yes it is.
Thrombocytopenias with the presence of normal functioning thrombocytes may provide some survival advantages for human being since myocardial infarction and stroke are the most common causes of death in developed countries at the moment, and the roles of thrombocytes in such events are significant. Thus initiation of low dose aspirin is strongly advised above the age of 50 years.
No.
Repeat testing of platelet count is necessary to know if it is normal.level for that person.
Follow up advisef
Yes this level is below the lower normal reference value (150 X10^9/L) and is considered mild thrombocytopenia for follow up. Provided that it is true thrombocytopenia, First review blood smear to rule out psudo-thrombocytopenia e.g (EDTA induced thrombocytopenia)
to adjust nomenclature : thrombocytopenia is classically assumed < 150 000/mm3, but since 2000 has been proposed to assume a lower cut off (100 000/mm3) - the isolated count between 100-150 000 has no clinical relevance and is very frequent and transitory (
No . Thrombocytopenia of any clinical importance is when platelets are less than 100.000/μl
No. Even though it is a repeated finding. However, if there is a positive bleeding history investigation for underlying thrombocytopathy should be performed.
thrombocytopenia occur if the number of platelets falls below 50000/ml and lethal if the number is 10,000/ml
No in terms of number but the quality of the platelets are important factor for clinical diagnosis.
keeping in mind that normal range of platelet count is 150-400, 137 is consider thrombocytopenia, but we have to consider the clinical status of the patient
Two things must be kept present at least:
1.Thrombocytopenia is a symptom or disease, not a laboratory result
2.The reference range of a laboratory test includes only 95% of the population.
So, 137x10*9PLT is not thrombocytopenia
it is low but not clinically relevant
the patient's previous count must be taken into account
The ideal platelet count range is 150,000-400,000 per ML
A platelet count of less than 150,000 platelets per microliter is lower than normal. If blood platelet count falls below normal, it is thrombocytopenia.
Degrees of thrombocytopenia can be further subdivided into:
Mild (platelet count 100,000 to 150,000/microL),
Moderate (50,000 to 99,000/microL), and
Severe (
normal platelets count 150.000-400.000 plateletsper microliter ,lower than range called thrombocytopenia
I agree with previous answers ; no , for reasons already appointed
Nobody referred to quality control of the measurement of planteles nor CV%
Plt count is close to the lower limit and could be considered as normal in the absence of a disease or symptoms. If it follows a progressive course with a decrease from initially normal values of plt it is considered thrombocytopenia as it could be clinically related. Definitely not ITP, where Plt is lower than 100.000.
By definition its not. But a single reading in the absence of other clinical and hematology parameters is of limited value. A trend towards lower side or a simultaneously done blood smear showing macro platelets or platelet anisocytosis (mvp width) adds to the value of a single count.
The normal range (150-450.000/μl) is according to 95% confidence interval for the mean.
Keep in mind that about ~2.5% of the population has PLT < 150.000/μl
Thrombocytopenia of clinical importance is when PLT < 100.000/μl
Thrombocytopenia of clinical importance is when the level is below 50000 /μl
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