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TROMBOZ CHECKLİST

REAKTİF TROMBOSİTOZ NEDENLERİ

Major causes of reactive thrombocytosis

Nonmalignant hematologic conditions

  • Acute blood loss
  • Acute hemolytic anemia
  • Iron deficiency anemia
  • Treatment of vitamin B12 deficiency
  • Rebound effect after treatment of ITP
  • Rebound effect after ethanol-induced thrombocytopenia

Malignant conditions

  • Metastatic cancer
  • Lymphoma
  • Rebound effect following use of myelosuppressive agents

Acute and chronic inflammatory conditions

  • Rheumatologic disorders, vasculitides
  • Inflammatory bowel disease
  • Celiac disease
  • Functional and surgical asplenia
  • POEMS syndrome (osteosclerotic myeloma)

Tissue damage

  • Thermal burns
  • Myocardial infarction
  • Severe trauma
  • Acute pancreatitis
  • Post-surgical period, especially post-splenectomy
  • Coronary artery bypass procedures

Infections

  • Chronic infections
  • Tuberculosis

Exercise

Allergic reactions

Chronic renal disease

  • Renal failure
  • Nephrotic syndrome

Reaction to medications

  • Vincristine
  • Epinephrine, glucocorticoids
  • Interleukin-1B
  • All-trans retinoic acid
  • Thrombopoietin, thrombopoietin mimetics
  • Low molecular weight heparins (enoxaparin)

 Proposed revised WHO criteria for essential thrombocythemia (ET)

 

Proposed criteria for ET

  • Sustained platelet count ≥450 x 109/L*
  • Bone marrow biopsy specimen showing proliferation mainly of the megakaryocytic lineage with increased numbers of enlarged, mature megakaryocytes; no significant increase or left-shift of neutrophil granulopoiesis or erythropoiesis
  • Not meeting WHO criteria for PV, PMFΔ, CML, MDS§ or other myeloid neoplasm
  • Demonstration of JAK2 617V>F or other clonal marker, or in the absence of a clonal marker, no evidence for reactive thrombocytosis¥

 Diagnosis requires meeting all four criteria.

BİLGİLENDİRME

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The information on this site consists of my personal study notes and research. It is for informational purposes only and is not legally binding.

Hematology Journal
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