Thrombocytosis differential diagnosis: Difference between revisions

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==Thrombocytosis Differential Diagnosis==
==Thrombocytosis Differential Diagnosis==
'''Differentiating the diseases that can cause Thrombocytosis :'''
'''Differentiating the diseases that can cause thrombocytosis :'''
 
{|
{|
! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category
! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category
Line 16: Line 17:
! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
! colspan="9" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Clinical manifestations
! colspan="9" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Clinical manifestations
! colspan="9" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para−clinical findings
! colspan="8" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Para−clinical findings
! colspan="1" rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! colspan="1" rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
Line 25: Line 26:
| colspan="4" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs
| colspan="4" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Signs
|-
|-
! colspan="8" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
! colspan="7" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Lab Findings
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
|-
|-
! colspan="1" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! colspan="1" rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Rash
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
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! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
|-
|-
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Decreased platelet production
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Increased megakaryocyte proliferation
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in blood
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Accelerated platelet release
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in spleen
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reduced platelet turnover
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Plt
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Plt
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |HB
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |HB
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |WBC
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |WBC
|-
|-
! rowspan="15" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Hematology
! rowspan="8" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Autonomous thrombocytosis
! rowspan="4" align="center" style="background:#DCDCDC;" + |Bone marrow disorders
! rowspan="6" align="center" style="background:#DCDCDC;" |Hematologic malignancies
! align="center" style="background:#DCDCDC;" + |[[Myelodysplastic syndrome|Myelodysplastic syndromes]]<ref name="NatelsonPyatt2013">{{cite journal|last1=Natelson|first1=Ethan A.|last2=Pyatt|first2=David|title=Acquired Myelodysplasia or Myelodysplastic Syndrome: Clearing the Fog|journal=Advances in Hematology|volume=2013|year=2013|pages=1–11|issn=1687-9104|doi=10.1155/2013/309637}}</ref>
! align="center" style="background:#DCDCDC;" |[[Essential thrombocytosis|Essential thrombocythemia]]<ref name="Brière2007">{{cite journal|last1=Brière|first1=Jean B|journal=Orphanet Journal of Rare Diseases|volume=2|issue=1|year=2007|pages=3|issn=17501172|doi=10.1186/1750-1172-2-3}}</ref>
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Unknown
* Acquired mutation of ''[[Janus kinase|JAK2]], CALR,'' or ''MPL''
* Mutation
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -/+
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Elderly
| align="center" style="background:#F5F5F5;" + |Exposure to
* [[Chemotherapy]]
* [[Radiation therapy]]
* [[Tobacco smoking|Tobacco smoke]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |[[Petechia|Petechiae]], [[purpura]], diffuse erythematous rash
| align="center" style="background:#F5F5F5;" + |Mean age >60 years old, female > male
| align="Left" style="background:#F5F5F5;" + |
* Vascular occlusive events and [[Bleeding|hemorrhages]]
| align="center" style="background:#F5F5F5;" + |±
| align="Left" style="background:#F5F5F5;" + |
* Flushing
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |[[Shortness of breath]], [[fatigue]]
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Erythromelalgia]]
| align="center" style="background:#F5F5F5;" + |
* [[Transient ischemic attack|Transient ischemic attacks]]
| align="center" style="background:#F5F5F5;" + |
* [[Priapism]]
| align="center" style="background:#F5F5F5;" + |
* Decreased [[visual acuity]]
* Ovalomacrocytosis
| align="center" style="background:#F5F5F5;" + |↑↑
* Basophilic stippling
| align="center" style="background:#F5F5F5;" + |
* [[Howell-Jolly body]]
| align="center" style="background:#F5F5F5;" + |
* Dysplastic [[Neutrophil|neutrophils]]
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Large [[Platelet|platelets]]
* Impaired [[myeloid]] maturation
* [[Megakaryocyte]] fragments
* [[Congenital dyserythropoietic anemia|Dyserythropoiesis]]
* [[Platelet]] aggregates
* Dysgranulopoiesis
| align="Left" style="background:#F5F5F5;" + |
* Dysmegakaryocytopoiesis
* Increased cellularity
* Hypercellular [[bone marrow]]
* [[Hyperplasia]] and clustering of [[megakaryocytes]]
* [[Fibrosis]]
* [[Bone marrow]] [[reticulin]] may be increased with no [[collagen]] [[fibrosis]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |NA
* [[Splenomegaly]] on abdominal CT
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] + clinical manifestation
* [[VTE]] on spiral chest CT
| align="center" style="background:#F5F5F5;" + |
* [[Deep vein thrombosis|DVT]] on ultrasound
* Might transformed to [[acute leukemia]]
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]]
| align="Left" style="background:#F5F5F5;" + |
* Thrombo-hemorrhagic complications
|-
|-
! align="center" style="background:#DCDCDC;" + |Aplastic anemia
! align="center" style="background:#DCDCDC;" |[[Polycythemia vera]]<ref name="ArberOrazi2016">{{cite journal|last1=Arber|first1=D. A.|last2=Orazi|first2=A.|last3=Hasserjian|first3=R.|last4=Thiele|first4=J.|last5=Borowitz|first5=M. J.|last6=Le Beau|first6=M. M.|last7=Bloomfield|first7=C. D.|last8=Cazzola|first8=M.|last9=Vardiman|first9=J. W.|title=The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia|journal=Blood|volume=127|issue=20|year=2016|pages=2391–2405|issn=0006-4971|doi=10.1182/blood-2016-03-643544}}</ref>
| align="center" style="background:#F5F5F5;" + |'''Acquired:'''
| align="Left" style="background:#F5F5F5;" + |
* [[idiopathic]]
* Acquired mutation of ''[[JAK2]]''
* secondary to [[Radiation (medicine)|radiation]], drugs and chemicals, [[pregnancy]], [[Paroxysmal nocturnal hemoglobinuria|PNH]] and viral or [[Autoimmune disease|autoimmune]] causes
 
'''Inherited:'''
* Unknown
 
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -/+
| align="center" style="background:#F5F5F5;" + | -/+
| align="center" style="background:#F5F5F5;" + |Biphasic (the young and the elderly)
| align="center" style="background:#F5F5F5;" + |
Exposure to
* [[Chemical substance|Chemicals]]
* [[Radiation therapy|Radiation]]
History of
* Prior drug use
* [[Viral infections|Viral infection]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Mean age >60 years old
| align="Left" style="background:#F5F5F5;" + |
* Family history of [[polycythemia vera]]
* Ashkenazi Jewish descent
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
* Facial plethora
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |[[Shortness of breath]], [[fatigue]], [[pallor]]
* [[Erythromelalgia]]
| align="center" style="background:#F5F5F5;" + |
* [[Itch|Pruritus]]
| align="center" style="background:#F5F5F5;" + |
* [[Tinnitus]]
| align="center" style="background:#F5F5F5;" + |
* [[Blurred vision]]
| align="center" style="background:#F5F5F5;" + |
* [[Lymphadenopathy]]
* large [[Red blood cell|RBC]]<nowiki/>s
| align="center" style="background:#F5F5F5;" + |
* low [[Platelet|platelets]] and [[Granulocyte|granulocytes]]
| align="center" style="background:#F5F5F5;" + |↑↑
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Hypocellular [[bone marrow]]
| align="Left" style="background:#F5F5F5;" + |
* replacement of [[bone marrow]] by [[fat]]
* Panmyelosis including prominent [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Panmyelosis including prominent [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation
* Pleomorphic, mature [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |NA
* [[Splenomegaly]] or splenic [[Infarction|infarcts]] on imaging
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] +
* Increased radiographic attenuation of [[cerebral arteries]], veins and dural [[sinuses]] on [[Computed tomography|CT scan]] or [[Magnetic resonance imaging|MRI]]
 
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]]
laboratory findings
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Inherited forms are associated with:
* Thrombo-hemorrhagic complications
* [[Fanconi anemia|Fanconi Anemia]]
* [[Dyskeratosis congenita]]
* [[Shwachman-Diamond syndrome|Schwachman-Diamond syndrome]]
* Reticular dysgenesis
* Amegakaryocytic thrombocytopenia
* Familial aplastic anemias
* [[Preleukemia]] (monosomy 7, etc.)
* Nonhematologic syndrome
|-
|-
! align="center" style="background:#DCDCDC;" + |Acute leukemia
! align="center" style="background:#DCDCDC;" |[[Myelofibrosis|Primary myelofibrosis]]<ref name="TefferiLasho2012">{{cite journal|last1=Tefferi|first1=Ayalew|last2=Lasho|first2=Terra L.|last3=Jimma|first3=Thitina|last4=Finke|first4=Christy M.|last5=Gangat|first5=Naseema|last6=Vaidya|first6=Rakhee|last7=Begna|first7=Kebede H.|last8=Al-Kali|first8=Aref|last9=Ketterling|first9=Rhett P.|last10=Hanson|first10=Curtis A.|last11=Pardanani|first11=Animesh|title=One Thousand Patients With Primary Myelofibrosis: The Mayo Clinic Experience|journal=Mayo Clinic Proceedings|volume=87|issue=1|year=2012|pages=25–33|issn=00256196|doi=10.1016/j.mayocp.2011.11.001}}</ref>
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Bone marrow]] fibrosis
* [[Mutation]] in ''[[Janus kinase|JAK2]], CALR'', or ''MPL''
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! align="center" style="background:#DCDCDC;" + |[[Paroxysmal nocturnal hemoglobinuria|Paroxysmal nocturnal hemoglobinuria (PNH)]]<ref name="pmid25237200">{{cite journal| author=Brodsky RA| title=Paroxysmal nocturnal hemoglobinuria. | journal=Blood | year= 2014 | volume= 124 | issue= 18 | pages= 2804-11 | pmid=25237200 | doi=10.1182/blood-2014-02-522128 | pmc=4215311 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=25237200  }}</ref>
| align="center" style="background:#F5F5F5;" + |
* Deficiency of [[complement]] regulatory proteins
 
* Mutations
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Mean age >60 years old, male> female
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Other [[Myeloproliferative neoplasm|myeloproliferative]] disorders
* [[Radioactive contamination|Radiation exposure]]
* Chemicals exposure
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
* [[Pallor]]
* [[Bruising]]
* [[Nodules|Skin nodules]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any age
(usually younger adults)
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[thrombosis]]
* smooth muscle [[dystonia]]
| align="center" style="background:#F5F5F5;" + |↓/Nl
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |↓/Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Usually cellular [[Bone marrow|marrow]]
* [[Erythroid]] [[hyperplasia]]
* [[dyserythropoiesis]]
* The [[Bone marrow|marrow]] may also become hypocellular or even [[Aplastic anemia|aplastic]] in certain stages of the disease
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |[[hemoglobinuria]]
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |[[Flow cytometry]]
| align="center" style="background:#F5F5F5;" + |
* [[Chronic renal failure]]
* [[Pulmonary hypertension]]
* [[Aplastic anemia]]
|-
! rowspan="3" align="center" style="background:#DCDCDC;" + |Thrombotic microangiopathy (TMA)
! align="center" style="background:#DCDCDC;" + |[[Thrombotic thrombocytopenic purpura]] ([[Thrombotic thrombocytopenic purpura|TTP]])
| align="center" style="background:#F5F5F5;" + |Deficiency of, or antibodies to, the metalloprotease ADAMTS13  
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -/+
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any age
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Fatigue]]
| align="center" style="background:#F5F5F5;" + | +
* [[Abdominal pain]]
| align="center" style="background:#F5F5F5;" + |
* Early satiety
| align="center" style="background:#F5F5F5;" + |
* [[Dyspnea]]
| align="center" style="background:#F5F5F5;" + |
* [[Lymphadenopathy]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |↑/↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Fragmented [[Red blood cell|RBC]]<nowiki/>s
* Decreased number of [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
* Proliferation and atypia of [[megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
* Reticulin or [[Collagen|collagen fibrosis]]
| align="center" style="background:#F5F5F5;" + |
* Hypercellular [[bone marrow]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Hemolysis]]
* Diffuse bone [[sclerosis]] on [[CT angiography|CT]]
* Microvascular [[thrombosis]]
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]]
| align="Left" style="background:#F5F5F5;" + |
* Thrombo-hemorrhagic complications
* Variable risk for development of [[acute leukemia]]
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Hemolytic-uremic syndrome|Hemolytic uremic syndrome]] ([[Hemolytic-uremic syndrome|HUS]])
! align="center" style="background:#DCDCDC;" |[[Chronic myelogenous leukemia|Chronic myeloid leukemia]]<ref name="ThompsonKantarjian2015">{{cite journal|last1=Thompson|first1=Philip A.|last2=Kantarjian|first2=Hagop M.|last3=Cortes|first3=Jorge E.|title=Diagnosis and Treatment of Chronic Myeloid Leukemia in 2015|journal=Mayo Clinic Proceedings|volume=90|issue=10|year=2015|pages=1440–1454|issn=00256196|doi=10.1016/j.mayocp.2015.08.010}}</ref>
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Escherichia coli O157:H7]]
* Translocation (9;22), the [[Philadelphia chromosome]]
* Genetic defects
* [[BCR/ABL|''BCR-ABL1'' oncogene]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Mean age >50 years old, male> female
| align="Left" style="background:#F5F5F5;" + |History of exposure to:
* [[Ionizing radiation]]
* [[Formaldehyde]]
* [[Benzene]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -/+
* [[Pallor]]
* [[Bruises]]
* [[Petechiae]]
* [[Ulcers]]
* [[Vesicles]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Children
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Acute renal failure [[Hemolysis]]
* Microvascular [[thrombosis]]
|-
! align="center" style="background:#DCDCDC;" + |[[Disseminated intravascular coagulation|DIC]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Fatigue]]
| align="center" style="background:#F5F5F5;" + |
* [[Abdominal pain]]
| align="center" style="background:#F5F5F5;" + |
* Early satiety
| align="center" style="background:#F5F5F5;" + |
* [[Dyspnea]]
| align="center" style="background:#F5F5F5;" + |
* [[Lymphadenopathy]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Immature [[White blood cells|leukocytes]]
| align="center" style="background:#F5F5F5;" + |
* Leukemic blasts
| align="center" style="background:#F5F5F5;" + |
* Leukoerythroblastic features
| align="center" style="background:#F5F5F5;" + |
* Giant [[platelets]]
| align="center" style="background:#F5F5F5;" + |
* Blast crisis
| align="center" style="background:#F5F5F5;" + |↑↑
| align="Left" style="background:#F5F5F5;" + |
* ↑ Proportion of metamyelocytes and other [[white blood cells]] at various stages of maturation
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Enlarged [[Lymph node|lymph nodes]] and [[splenomegaly]] on [[Computed tomography|CT scan]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Hemolysis]]
* Increase of immature myeloid cells
* [[Microvascular disease|Microangiopathy]]  
|-
|-
! rowspan="7" align="center" style="background:#DCDCDC;" + |Congenital platelet disorders<ref name="pmid22726100">{{cite journal| author=Nurden AT, Freson K, Seligsohn U| title=Inherited platelet disorders. | journal=Haemophilia | year= 2012 | volume= 18 Suppl 4 | issue=  | pages= 154-60 | pmid=22726100 | doi=10.1111/j.1365-2516.2012.02856.x | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=22726100  }}</ref><ref name="pmid20011639">{{cite journal| author=D'Andrea G, Chetta M, Margaglione M| title=Inherited platelet disorders: thrombocytopenias and thrombocytopathies. | journal=Blood Transfus | year= 2009 | volume= 7 | issue= 4 | pages= 278-92 | pmid=20011639 | doi=10.2450/2009.0078-08 | pmc=2782805 | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=20011639  }}</ref>
! align="center" style="background:#DCDCDC;" + |[[Acute myeloid leukemia]]<ref name="Rose-InmanKuehl2014">{{cite journal|last1=Rose-Inman|first1=Hayley|last2=Kuehl|first2=Damon|title=Acute Leukemia|journal=Emergency Medicine Clinics of North America|volume=32|issue=3|year=2014|pages=579–596|issn=07338627|doi=10.1016/j.emc.2014.04.004}}</ref>
! align="center" style="background:#DCDCDC;" + |MYH-9 related disorders
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |[[Cytoskeleton|Cytoskeletal]] defects in [[Megakaryocyte|megakaryocytes]]
* Unknown
 
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Sensorineural hearing loss|Hearing loss]]
* Renal impairment
* [[Cataract]]
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Large [[Platelet|platelets]]
* Leukocyte inclusions
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! align="center" style="background:#DCDCDC;" + |Bernard-Soulier syndrome
| align="center" style="background:#F5F5F5;" + |Absence of
Gp Ib-IX-V  
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Median age of 63 years old
| align="center" style="background:#F5F5F5;" + |Children
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |History of easy bruising and bleeding symptoms
* History of [[hematological]] disorder
| align="center" style="background:#F5F5F5;" + | -
* History of [[chemotherapy]] and [[ionizing radiation]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="Left" style="background:#F5F5F5;" + |
* [[Pallor]]
* [[Chloroma|Leukemia cutis]]
* [[Bruising]]
* [[Petechia|Petechiae]]
* [[Ecchymosis]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
* [[Fatigue]]
* Bone [[tenderness]]
* Early satiety
| align="center" style="background:#F5F5F5;" + |↑/↓
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + | Nl
| align="center" style="background:#F5F5F5;" + |↑/↓
| align="center" style="background:#F5F5F5;" + | Nl
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Large [[Platelet|platelets]]
* [[Leukemic]] blasts
* Leukoerythroblastic features
* Giant [[Platelet|platelets]]
| align="Left" style="background:#F5F5F5;" + |
* "Dry tap" on aspiration
* [[Leukemic]] cells
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] + clinical manifestation
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
* [[Infection|Infections]] of variable severity
| align="center" style="background:#F5F5F5;" + |NA
* [[Nerve palsy|Cranial nerve palsy]]
| align="center" style="background:#F5F5F5;" + |[[Flow cytometry]]
| align="center" style="background:#F5F5F5;" + |Increased
[[bleeding time]]
|-
|-
! align="center" style="background:#DCDCDC;" + |Gray platelet syndrome
! align="center" style="background:#DCDCDC;" + |[[Myelodysplastic syndrome|Myelodysplastic syndromes]]<ref name="NatelsonPyatt2013">{{cite journal|last1=Natelson|first1=Ethan A.|last2=Pyatt|first2=David|title=Acquired Myelodysplasia or Myelodysplastic Syndrome: Clearing the Fog|journal=Advances in Hematology|volume=2013|year=2013|pages=1–11|issn=1687-9104|doi=10.1155/2013/309637}}</ref>
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Unknown
| align="center" style="background:#F5F5F5;" + |
* [[Mutation]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! align="center" style="background:#DCDCDC;" + |Wiskott-Aldrich syndrome
| align="center" style="background:#F5F5F5;" + |Mutation in [[GATA1|GATA-1]]  
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | ±
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Small [[Platelet|platelets]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[eczema]]
 
* recurrent [[Infection|infections]]
 
* [[Autoimmune disease|autoimmune disorders]]
* [[Cancer|malignancy]]
|-
! align="center" style="background:#DCDCDC;" + |Thrombocytopenia with absent radius (TAR) syndrome
| align="center" style="background:#F5F5F5;" + |1q21.1 [[Deletion (genetics)|deletion]] and [[bone marrow]] failure
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Elderly
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |Exposure to:  
| align="center" style="background:#F5F5F5;" + |
* [[Chemotherapy]]
| align="center" style="background:#F5F5F5;" + |
* [[Radiation therapy]]
| align="center" style="background:#F5F5F5;" + |
* [[Tobacco smoking|Tobacco smoke]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | ±
| align="center" style="background:#F5F5F5;" + |
| align="left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Petechia|Petechiae]]
| align="center" style="background:#F5F5F5;" + |
* [[Purpura]]
| align="center" style="background:#F5F5F5;" + |
* Diffuse erythematous [[rash]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Normal size [[Platelet|platelets]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! align="center" style="background:#DCDCDC;" + |Alport syndrome
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! align="center" style="background:#DCDCDC;" + |Von Willebrand disease
| align="center" style="background:#F5F5F5;" + |[[Von Willebrand factor|VWF]] deficiency/dysfunction
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Rarely
| align="center" style="background:#F5F5F5;" + |More common with [[ABO blood group system|O blood type]]
| align="center" style="background:#F5F5F5;" + |Bleeding symptoms
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
* [[Shortness of breath]]
| align="center" style="background:#F5F5F5;" + | -
* [[Fatigue]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |↑/↓
| align="center" style="background:#F5F5F5;" + |Nl/ ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl/↓
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Large platelets
* Ovalomacrocytosis
* Basophilic stippling
* [[Howell-Jolly body]]
* Pelger-Huet anomaly
* Ring [[Sideroblastic|sideroblasts]]
| align="Left" style="background:#F5F5F5;" + |
* Impaired [[myeloid]] maturation
* [[Congenital dyserythropoietic anemia|Dyserythropoiesis]]
* Dysgranulopoiesis
* Dysmegakaryocytopoiesis
* Hypercellular [[bone marrow]]
* [[Fibrosis]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Large [[Platelet|platelets]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl or ↑
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] + clinical manifestation
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Laboratory findings
* [[Thrombosis]] at unusual sites
| align="center" style="background:#F5F5F5;" + |
* [[Thrombosis]] in younger patients
|-
* Might transformed to [[acute leukemia]]
! align="center" style="background:#DCDCDC;" + |Nutrient deficiencies
! align="center" style="background:#DCDCDC;" + |Folate, vitamin B12, copper
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
|-
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Decreased platelet production
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Increased megakaryocyte proliferation
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in blood
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Accelerated platelet release
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in spleen
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reduced platelet turnover
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inherited
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inherited
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
Line 567: Line 341:
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Rash
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
Line 580: Line 354:
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
|-
|-
! rowspan="4" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Rheumatologic/autoimmune disorders
! colspan="2" align="center" style="background:#DCDCDC;" |Familial thrombocytosis<ref name="Ding2004">{{cite journal|last1=Ding|first1=J.|title=Familial essential thrombocythemia associated with a dominant-positive activating mutation of the c-MPL gene, which encodes for the receptor for thrombopoietin|journal=Blood|volume=103|issue=11|year=2004|pages=4198–4200|issn=0006-4971|doi=10.1182/blood-2003-10-3471}}</ref><ref name="WiestnerPadosch2000">{{cite journal|last1=Wiestner|first1=A.|last2=Padosch|first2=S. A.|last3=Ghilardi|first3=N.|last4=Cesar|first4=J. M.|last5=Odriozola|first5=J.|last6=Shapiro|first6=A.|last7=Skoda|first7=R. C.|title=Hereditary thrombocythaemia is a genetically heterogeneous disorder: exclusion of TPO and MPL in two families with hereditary thrombocythaemia|journal=British Journal of Haematology|volume=110|issue=1|year=2000|pages=104–109|issn=0007-1048|doi=10.1046/j.1365-2141.2000.02169.x}}</ref>
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Idiopathic thrombocytopenic purpura|ITP]]
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Mutation]] in ''TPO'' and ''MPL''
* Immune-mediated platelet destruction
* Inhibition of platelet release from the megakaryocyte  
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any age
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Rare familial disease, middle age male and female
| align="Left" style="background:#F5F5F5;" + |
* Family history of [[thrombocytosis]]
| align="center" style="background:#F5F5F5;" + | -
| align="left" style="background:#F5F5F5;" + |
* Normal
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |[[Bruise|Ecchymoses]] and
[[petechia]]
| align="center" style="background:#F5F5F5;" + | + [[Mucocutaneous zone|Mucocutaneous]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |↓↓↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Giant [[Platelet|platelets]]
* [[Platelet]] conglomerates
* Bizarre forms
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Large [[Platelet|platelets]], otherwise normal
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |Genetic study
| align="Left" style="background:#F5F5F5;" + |
* Polyclonal hematopoiesis
* Familial [[polycythemia vera]]
* Familial [[Myelofibrosis|primary myelofibrosis]]
|-
! rowspan="20" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reactive thrombocytosis
! align="center" style="background:#DCDCDC;" + |[[Anemia]]/
[[Bleeding|blood loss]]<ref name="Kuter1996">{{cite journal|last1=Kuter|first1=David J.|title=The Physiology of Platelet Production|journal=Stem Cells|volume=14|issue=S1|year=1996|pages=88–101|issn=10665099|doi=10.1002/stem.5530140711}}</ref>
| align="left" style="background:#DCDCDC;" |
* [[Iron deficiency anemia|Iron deficiency]]
* [[Bleeding|Blood loss]]
* [[Hemolysis]]
| align="Left" style="background:#F5F5F5;" + |
* Unknown
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* History of [[bleeding]] or [[Iron deficiency anemia|iron deficiency]]
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
* [[Pallor]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Depends on the etilogy
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* [[Microcytic anemia]]
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |Diagnosis of exclusion
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="center" style="background:#F5F5F5;" + |Spontaneous remission  
| align="Left" style="background:#F5F5F5;" + |
* Required iron studies
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |Systemic lupus erythematosus (SLE)
! rowspan="3" align="center" style="background:#DCDCDC;" |[[Infection]]
| align="center" style="background:#F5F5F5;" + |
! align="center" style="background:#DCDCDC;" |Chronic [[Infection|infections]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* History of [[immunodeficiency]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Pallor]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Depends on the etilogy
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Microcytic [[anemia]]
| align="center" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Culture
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Depends on the etilogy
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |Antiphospholipid syndrome (APS)
! align="center" style="background:#DCDCDC;" + |[[Tuberculosis]]
| align="center" style="background:#F5F5F5;" + |Autoantibody-mediated syndrome
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* History of  close contact
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="Left" style="background:#F5F5F5;" + |
* Cachectic
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Large [[platelets]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Cavitation on chest imaging
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Clinical manifestation+ culture
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |Felty's syndrome
! align="center" style="background:#DCDCDC;" + |Acute bacterial and viral infections
| align="center" style="background:#F5F5F5;" + |Splenomegaly
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* History of  close contact
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="Left" style="background:#F5F5F5;" + |
* Acutely ill
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Depends on the etilogy
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Large [[platelets]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Clinical manifestation+ culture
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
|-
! rowspan="7" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Infection-induced
! rowspan="3" align="center" style="background:#DCDCDC;" |[[Inflammation]]
! rowspan="3" align="center" style="background:#DCDCDC;" + |[[Infection|Bacterial infections]]
! align="center" style="background:#DCDCDC;" |[[Vasculitis|Vasculitides]]<ref name="pmid82963">{{cite journal |vauthors=Hamblin T, Oscier D |title=Polyarteritis presenting with thrombocytosis and palliated by plasma exchange |journal=Postgrad Med J |volume=54 |issue=635 |pages=615–7 |date=September 1978 |pmid=82963 |pmc=2425233 |doi= |url=}}</ref>
! align="center" style="background:#DCDCDC;" + |[[Sepsis]]
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Direct bone marrow suppression
* Unknown
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* Family history of rheumatologic disorders
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Acutely ill
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Arthritis]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Microcytic anemia]]
| align="center" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="Left" style="background:#F5F5F5;" + |
* Depends on the type
| align="center" style="background:#F5F5F5;" + |Clinical manifestation+ culture
| align="Left" style="background:#F5F5F5;" + |
* Depends on the type
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Helicobacter pylori]]
! align="center" style="background:#DCDCDC;" + |[[Acute pancreatitis]]
| align="center" style="background:#F5F5F5;" + |Immune thrombocytopenia
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! align="center" style="background:#DCDCDC;" + |[[Tick-borne disease|Tick-borne infection]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! rowspan="2" align="center" style="background:#DCDCDC;" + |[[Virus|Viral infections]]
! align="center" style="background:#DCDCDC;" + |[[Human Immunodeficiency Virus (HIV)|HIV]]
| align="Left" style="background:#F5F5F5;" + |An ITP-like condition called primary HIV-associated thrombocytopenia
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* [[Long-term effects of alcohol|Alcohol consumption]]
* [[Gallstone disease|Gallstone]]
* [[Hyperlipoproteinemia|Hypertriglyceridemia]]
* [[Obesity]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="Left" style="background:#F5F5F5;" + |
* Acutely ill
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Tenderness (medicine)|Abdominal tenderness]]
| align="center" style="background:#F5F5F5;" + |
* [[Nausea and vomiting|N/V]]
| align="center" style="background:#F5F5F5;" + |
* [[Dyspnea]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Large [[platelets]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Diffusely enlarged and hypoechoic [[pancreas]] on abdominal [[ultrasound]]
| align="center" style="background:#F5F5F5;" + |
* Focal or diffuse enlargement of the [[pancreas]] with heterogeneous enhancement on abdominal [[Computed tomography|CT scan]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Rarely progress to severe [[inflammation]] and [[necrosis]]
| align="center" style="background:#F5F5F5;" + |
* Organ failure
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
|-
! align="center" style="background:#DCDCDC;" + |Other viruses such as [[rubella]], [[mumps]], [[varicella]], [[parvovirus]], [[hepatitis C]], & [[Epstein Barr virus|Epstein-Barr virus]]
! align="center" style="background:#DCDCDC;" |[[Cancer|Malignancy]]<ref name="YangJiang2018">{{cite journal|last1=Yang|first1=Chen|last2=Jiang|first2=Hui|last3=Huang|first3=Shaozhuo|last4=Hong|first4=Hui|last5=Huang|first5=Xiaowen|last6=Wang|first6=Xiaojie|last7=Liao|first7=Weixin|last8=Wang|first8=Xueyi|last9=Chen|first9=Xuewen|last10=Jiang|first10=Liming|title=The prognostic role of pretreatment thrombocytosis in gastric cancer|journal=Medicine|volume=97|issue=31|year=2018|pages=e11763|issn=0025-7974|doi=10.1097/MD.0000000000011763}}</ref>
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
* Accelerated [[platelet]] release
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* Prior malignancy
* Exposure to chemicals
* Family history of malignancy
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Cachectic
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Depends on the type
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Tenderness
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Microcytic [[anemia]]
| align="center" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Depends on the type
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |[[Biopsy]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Potential effective predictor of overall survival
| align="center" style="background:#F5F5F5;" + |
* [[Venous thromboembolism]]
|-
! rowspan="2" align="center" style="background:#DCDCDC;" + |[[Parasitism|Parasitic infections]]
! align="center" style="background:#DCDCDC;" + |[[Malaria]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Babesiosis]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Decreased platelet production
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Increased megakaryocyte proliferation
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in blood
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Accelerated platelet release
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in spleen
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reduced platelet turnover
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inherited
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inherited
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
Line 912: Line 668:
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Rash
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
Line 925: Line 681:
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
|-
|-
! rowspan="5" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Medication/toxicity
! rowspan="3" align="center" style="background:#DCDCDC;" + |Tissue damage
! align="center" style="background:#DCDCDC;" + |[[Antibiotic|Antibiotics]]/
! align="center" style="background:#DCDCDC;" + |[[Burns|Thermal burns]]<ref name="DinsdaleDevi2017">{{cite journal|last1=Dinsdale|first1=R. J.|last2=Devi|first2=A.|last3=Hampson|first3=P.|last4=Wearn|first4=C. M.|last5=Bamford|first5=A. L.|last6=Hazeldine|first6=J.|last7=Bishop|first7=J.|last8=Ahmed|first8=S.|last9=Watson|first9=C.|last10=Lord|first10=J. M.|last11=Moiemen|first11=N.|last12=Harrison|first12=P.|title=Changes in novel haematological parameters following thermal injury: A prospective observational cohort study|journal=Scientific Reports|volume=7|issue=1|year=2017|issn=2045-2322|doi=10.1038/s41598-017-03222-w}}</ref>
[[Anticonvulsant|Antiepileptic]]
| align="Left" style="background:#F5F5F5;" + |
! align="left" style="background:#DCDCDC;" + |
* Accelerated [[platelet]] release
* [[Quinine]]
| align="center" style="background:#F5F5F5;" + | -
* [[Sulfonamide (medicine)|Sulfonamides]]
| align="center" style="background:#F5F5F5;" + | +
* [[Carbamazepine]]
| align="center" style="background:#F5F5F5;" + | -
* [[Phenytoin]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Occurrence of drug-dependent, platelet-reactive [[antibodies]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* Thermal burn
| align="center" style="background:#F5F5F5;" + | +
| align="Left" style="background:#F5F5F5;" + |
* Acutely ill
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |±
| align="Left" style="background:#F5F5F5;" + |
* [[Fatigue]]
* [[Tenderness]]
* [[Burn]]
* [[Dyspnea]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |↑
| align="Left" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
* Large numbers of microspherocytes
| align="Left" style="background:#F5F5F5;" + |
* Increased production of [[Neutrophil|neutrophils]]
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="Left" style="background:#F5F5F5;" + |
* Depend on the involvement
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="Left" style="background:#F5F5F5;" + |
* [[Sepsis]]
|-
! align="center" style="background:#DCDCDC;" + |[[Physical trauma|Trauma]]<ref name="SalimHadjizacharia2009">{{cite journal|last1=Salim|first1=Ali|last2=Hadjizacharia|first2=Pantelis|last3=DuBose|first3=Joseph|last4=Kobayashi|first4=Leslie|last5=Inaba|first5=Kenji|last6=Chan|first6=Linda S.|last7=Margulies|first7=Daniel R.|title=What is the Significance of Thrombocytosis in Patients With Trauma?|journal=The Journal of Trauma: Injury, Infection, and Critical Care|volume=66|issue=5|year=2009|pages=1349–1354|issn=0022-5282|doi=10.1097/TA.0b013e318191b8af}}</ref>
| align="Left" style="background:#F5F5F5;" + |
* Accelerated [[platelet]] release
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Physical trauma]]
| align="center" style="background:#F5F5F5;" + |
* Accident
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Acutely ill
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Tenderness]]
| align="center" style="background:#F5F5F5;" + |
* [[Bone fracture|Fracture]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="center" style="background:#F5F5F5;" + |
* Large numbers of microspherocytes
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Increased production of [[Neutrophil|neutrophils]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Depend on the involvement
* [[Bone fracture|Fracture]] on X-rays
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="Left" style="background:#F5F5F5;" + |
* [[Sepsis]]
* Associated with higher rates of complications
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Heparin-induced thrombocytopenia]]
! align="center" style="background:#DCDCDC;" + |[[ST elevation myocardial infarction|Myocardial infarction]]<ref name="NanavatiPatel2012">{{cite journal|last1=Nanavati|first1=Amit|last2=Patel|first2=Nainesh|last3=Burke|first3=James|title=Thrombocytosis and Coronary Occlusion|journal=JACC: Cardiovascular Interventions|volume=5|issue=6|year=2012|pages=e18–e19|issn=19368798|doi=10.1016/j.jcin.2011.12.018}}</ref>
| align="center" style="background:#F5F5F5;" + |Anti-heparin/PF4 antibody 
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Accelerated [[platelet]] release
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Elderly
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Acute coronary syndromes|Acute coronary syndrome]]
| align="center" style="background:#F5F5F5;" + |
* [[Diabetes mellitus]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Acutely ill
| align="center" style="background:#F5F5F5;" + |
* Diaphoretic
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Chest pain]]
| align="center" style="background:#F5F5F5;" + |
* [[Dyspnea]]
| align="center" style="background:#F5F5F5;" + |
* [[Nausea and vomiting|N/V]]
| align="center" style="background:#F5F5F5;" + |
* [[Coma]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |ELISA
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="center" style="background:#F5F5F5;" + |Early or delayed-onset
* Large numbers of microspherocytes
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Hypokinetic heart on [[Echocardiography|echocardiogram]]
| align="center" style="background:#F5F5F5;" + |Clinical manifestation + enzymes elevation
| align="Left" style="background:#F5F5F5;" + |
* [[Pulmonary edema|Acute pulmonary edema]]
* Poor prognosis
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Chemotherapy|Cytotoxic chemotherapy]]
! rowspan="5" align="center" style="background:#DCDCDC;" + |[[Medication]]<ref name="pmid8473359">{{cite journal |vauthors=Frye JL, Thompson DF |title=Drug-induced thrombocytosis |journal=J Clin Pharm Ther |volume=18 |issue=1 |pages=45–8 |date=February 1993 |pmid=8473359 |doi= |url=}}</ref>
| align="center" style="background:#F5F5F5;" + |
! align="center" style="background:#DCDCDC;" + |[[Vincristine sulfate|Vincristine]]<ref name="FeliuCervantes1980">{{cite journal|last1=Feliu|first1=E.|last2=Cervantes|first2=F.|last3=Blade|first3=J.|last4=Rozman|first4=C.|title=Thrombocytosis in Quiescent Chronic Granulocytic Leukaemia after Vincristine and 6-Mercaptopurine Therapy|journal=Acta Haematologica|volume=64|issue=4|year=1980|pages=224–226|issn=0001-5792|doi=10.1159/000207258}}</ref>
| align="Left" style="background:#F5F5F5;" + |
* Increased [[Megakaryocyte|megakaryocytic]] differentiation
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* [[Cancer|Malignancy]]
* Drug consumption
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
* Cachectic
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Abdominal pain]]
| align="center" style="background:#F5F5F5;" + |
* [[Diarrhea]]
| align="center" style="background:#F5F5F5;" + |
* [[Dizziness]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="center" style="background:#F5F5F5;" + |
* Large numbers of microspherocytes
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Clinical manifestation + history of drug consumption
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Neuropathy]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Radiation therapy]]
! align="center" style="background:#DCDCDC;" + |[[Epinephrine]]<ref name="pmid9461228">{{cite journal |vauthors=Spalding A, Vaitkevicius H, Dill S, MacKenzie S, Schmaier A, Lockette W |title=Mechanism of epinephrine-induced platelet aggregation |journal=Hypertension |volume=31 |issue=2 |pages=603–7 |date=February 1998 |pmid=9461228 |doi= |url=}}</ref>
| align="center" style="background:#F5F5F5;" + |Predictable, dose-dependent [[Bone marrow suppression|myelosuppression]]
| align="Left" style="background:#F5F5F5;" + |
* Unknown
* Activation of chloride transport
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Anaphylaxis]]
| align="center" style="background:#F5F5F5;" + |
* [[Respiratory disease|Respiratory diseases]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Acutely ill
| align="center" style="background:#F5F5F5;" + |
* Diaphoretic
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Dizziness]]
| align="center" style="background:#F5F5F5;" + |
* [[Tremor]]
| align="center" style="background:#F5F5F5;" + |
* [[Anxiety]]
| align="center" style="background:#F5F5F5;" + |
* [[Dyspnea]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |Clinical manifestation + history of drug consumption
| align="Left" style="background:#F5F5F5;" + |
* [[Thrombosis|Thromboembolic]] complications
|-
|-
! align="center" style="background:#DCDCDC;" + |[[Over-the-counter drug|OTC agents]]
! align="center" style="background:#DCDCDC;" + |[[Glucocorticoids]]<ref name="NeelSnyder2012">{{cite journal|last1=Neel|first1=Jennifer A.|last2=Snyder|first2=Laura|last3=Grindem|first3=Carol B.|title=Thrombocytosis: a retrospective study of 165 dogs|journal=Veterinary Clinical Pathology|volume=41|issue=2|year=2012|pages=216–222|issn=02756382|doi=10.1111/j.1939-165X.2012.00416.x}}</ref>
! align="center" style="background:#DCDCDC;" + |[[Quinine]]-containing beverages
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Stimulate megakaryocytopoiesis
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Cancer|Malignancy]]
| align="center" style="background:#F5F5F5;" + |
* [[Autoimmunity|Autoimmune diseases]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Obesity|Obese]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Easy [[Bruise|bruising]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Abdominal pain]]
| align="center" style="background:#F5F5F5;" + |
* [[Muscle weakness]]
| align="center" style="background:#F5F5F5;" + |
* [[Growth failure]]
| align="center" style="background:#F5F5F5;" + |
* [[Pubertal delay]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
* Large numbers of microspherocytes
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="Left" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |Clinical manifestation + history of drug consumption
| align="Left" style="background:#F5F5F5;" + |
* [[Thrombosis|Thromboembolic]] complications
* [[Cushing's syndrome|Cushing syndrome]]
* [[Diabetes mellitus]]
|-
|-
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |GI
! align="center" style="background:#DCDCDC;" + |[[Antibiotic|Antibiotics]]<ref name="pmid23111864">{{cite journal |vauthors=Scharf RE |title=Drugs that affect platelet function |journal=Semin. Thromb. Hemost. |volume=38 |issue=8 |pages=865–83 |date=November 2012 |pmid=23111864 |doi=10.1055/s-0032-1328881 |url=}}</ref>
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Chronic liver disease]]
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Unclear
* Stimulate megakaryocytopoiesis
* [[Acute phase protein|Acute phase reactant]]
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |↓↓
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Infection]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |Clinical manifestation + history of drug consumption
| align="Left" style="background:#F5F5F5;" + |
* Poor prognosis
* [[Thrombosis]]
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Portal hypertension]]
! align="center" style="background:#DCDCDC;" + |[[Thrombopoietin]]<ref name="pmid24499199">{{cite journal |vauthors=Hitchcock IS, Kaushansky K |title=Thrombopoietin from beginning to end |journal=Br. J. Haematol. |volume=165 |issue=2 |pages=259–68 |date=April 2014 |pmid=24499199 |doi=10.1111/bjh.12772 |url=}}</ref><ref name="TeofiliGiona2010">{{cite journal|last1=Teofili|first1=Luciana|last2=Giona|first2=Fiorina|last3=Martini|first3=Maurizio|last4=Torti|first4=Lorenza|last5=Cenci|first5=Tonia|last6=Foà|first6=Robin|last7=Leone|first7=Giuseppe|last8=Larocca|first8=Luigi M.|title=Thrombopoietin Receptor Activation, Thrombopoietin Mimetic Drugs, and Hereditary Thrombocytosis: Remarks on Bone Marrow Fibrosis|journal=Journal of Clinical Oncology|volume=28|issue=19|year=2010|pages=e317–e318|issn=0732-183X|doi=10.1200/JCO.2010.29.0387}}</ref>
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Stimulate megakaryocytopoiesis
| align="center" style="background:#F5F5F5;" + |
* Thrombopoiesis
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Malignancy]]
| align="center" style="background:#F5F5F5;" + |
* [[Chemotherapy]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Chronically ill
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↑
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
* Large [[Platelet|platelets]]
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |Clinical manifestation + history of drug consumption
| align="Left" style="background:#F5F5F5;" + |
* Poor prognosis
* [[Thrombosis]]
|-
|-
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Category
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Etiology
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Decreased platelet production
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Increased megakaryocyte proliferation
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in blood
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Accelerated platelet release
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Platelet destruction in spleen
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reduced platelet turnover
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inherited
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Inherited
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Acquried
Line 1,146: Line 1,017:
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |History
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Fever
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Rash
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Appearance
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Bleeding
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |BP
Line 1,159: Line 1,030:
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |PTT
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |UA
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Imaging
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Gold standard
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
! style="background: #4479BA; color: #FFFFFF; text-align: center;" |Associated findings
|-
|-
! rowspan="3" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Vascular
! rowspan="3" align="center" style="background:#DCDCDC;" + |Other
! colspan="2" align="center" style="background:#DCDCDC;" + |Giant capillary hemangioma ([[Kasabach-Merritt syndrome]])
! align="center" style="background:#DCDCDC;" + |Post-splenectomy or functional [[asplenia]]<ref name="pmid22203487">{{cite journal |vauthors=Vlachaki E, Kalogeridis A, Neokleous N, Perifanis V, Klonizakis F, Ioannidou E, Klonizakis I |title=Absence of JAK2V617F mutation in patients with beta-thalassemia major and thrombocytosis due to splenectomy |journal=Mol. Biol. Rep. |volume=39 |issue=5 |pages=6101–5 |date=May 2012 |pmid=22203487 |doi=10.1007/s11033-011-1425-7 |url=}}</ref>
| align="center" style="background:#F5F5F5;" + |Platelet destruction
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Reduced [[platelet]] turnover
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |Aortic aneurysm
| align="center" style="background:#F5F5F5;" + |Platelet destruction
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Prior surgical removal of the spleen
| align="center" style="background:#F5F5F5;" + |
* [[Sickle-cell disease|Sickle cell disease]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |±
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* Normal
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Cardiopulmonary bypass]]
| align="center" style="background:#F5F5F5;" + |Platelet destruction
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |[[Asplenia]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |↑
| align="Left" style="background:#F5F5F5;" + |
* [[Howell-Jolly body|Howell-Jolly bodies]]
* Nucleated [[Red blood cell|RBCs]]
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Small or no [[spleen]] on [[CT scan]]
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="Left" style="background:#F5F5F5;" + |
* Incidental laboratory finding
* [[Thrombosis]]
|-
! align="center" style="background:#DCDCDC;" + |[[Allergy|Allergic reactions]]<ref name="pmid8603285">{{cite journal |vauthors=Randi ML, Rossi C, Fabris F, Zerbinati P, Girolami A |title=Atopic dermatitis and allergic diseases with thrombocytosis: a possible link |journal=Ann. Allergy Asthma Immunol. |volume=75 |issue=6 Pt 1 |pages=530–2 |date=December 1995 |pmid=8603285 |doi= |url=}}</ref>
| align="Left" style="background:#F5F5F5;" + |
* Unknown
* Activation of chloride transport
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
|-
! rowspan="6" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Other
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Alcohol]]<ref name="pmid15100613">{{cite journal |vauthors=Latvala J, Parkkila S, Niemelä O |title=Excess alcohol consumption is common in patients with cytopenia: studies in blood and bone marrow cells |journal=Alcohol. Clin. Exp. Res. |volume=28 |issue=4 |pages=619–24 |date=April 2004 |pmid=15100613 |doi= |url=}}</ref>
| align="center" style="background:#F5F5F5;" + |[[Platelet]] production suppression
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* History of [[Alcoholism|alcohol use]]
* [[Anaphylaxis]]
* [[Respiratory disease|Respiratory diseases]]
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
* Acutely ill
* Diaphoretic
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | +
* [[Dizziness]]
| align="center" style="background:#F5F5F5;" + | +
* [[Tremor]]
| align="center" style="background:#F5F5F5;" + |
* [[Anxiety]]
* [[Hepatomegaly]]
* [[Dyspnea]]
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |[[Cytopenia]], [[macrocytosis]]  
| align="center" style="background:#F5F5F5;" + |[[Cytopenia]], [[macrocytosis]]
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="Left" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |NA
| align="Left" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* [[Chronic liver disease]]
* Poor prognosis
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Post-transfusion purpura]]<ref name="McCraeHerman1996">{{cite journal|last1=McCrae|first1=Keith R.|last2=Herman|first2=Jay H.|title=Posttransfusion purpura: Two unusual cases and a literature review|journal=American Journal of Hematology|volume=52|issue=3|year=1996|pages=205–211|issn=03618609|doi=10.1002/(SICI)1096-8652(199607)52:3<205::AID-AJH13>3.0.CO;2-E}}</ref><ref name="PavenskiWebert2008">{{cite journal|last1=Pavenski|first1=Katerina|last2=Webert|first2=Kathryn E.|last3=Goldman|first3=Mindy|title=Consequences of transfusion of platelet antibody: a case report and literature review|journal=Transfusion|volume=48|issue=9|year=2008|pages=1981–1989|issn=00411132|doi=10.1111/j.1537-2995.2008.01796.x}}</ref>
! align="center" style="background:#DCDCDC;" + |[[Physical exercise|Exercise]]<ref name="pmid25573725">{{cite journal |vauthors=Beck WR, Scariot PP, Gobatto CA |title=Primary and secondary thrombocytosis induced by exercise and environmental luminosity |journal=Bratisl Lek Listy |volume=115 |issue=10 |pages=607–10 |date=2014 |pmid=25573725 |doi= |url=}}</ref>
| align="center" style="background:#F5F5F5;" + |[[Platelet]] destruction by anti-platelet antibodies
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
* Increased [[megakaryocyte]] proliferation
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Women
| align="center" style="background:#F5F5F5;" + |Athlete
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* History of [[blood transfusion]] or pregnancy
* Exercise
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |[[Purpura]], [[Petechia|petechiae]]
| align="center" style="background:#F5F5F5;" + |Normal
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |↓↓↓
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |↑
| align="Left" style="background:#F5F5F5;" + |
* [[Myelofibrosis|Megakaryocytic]] fragments
| align="Left" style="background:#F5F5F5;" + |
* Proliferation of [[Megakaryocyte|megakaryocytes]]
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Depends on the etiology
| align="center" style="background:#F5F5F5;" + |Clinical manifestation
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |Positive circulating alloantibody to a common platelet antigen
| align="center" style="background:#F5F5F5;" + |
* Severe but rare reaction
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |Gestational thrombocytopenia<ref name="ReesePeck2018">{{cite journal|last1=Reese|first1=Jessica A.|last2=Peck|first2=Jennifer D.|last3=Deschamps|first3=David R.|last4=McIntosh|first4=Jennifer J.|last5=Knudtson|first5=Eric J.|last6=Terrell|first6=Deirdra R.|last7=Vesely|first7=Sara K.|last8=George|first8=James N.|title=Platelet Counts during Pregnancy|journal=New England Journal of Medicine|volume=379|issue=1|year=2018|pages=32–43|issn=0028-4793|doi=10.1056/NEJMoa1802897}}</ref>
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pseudothrombocytosis
| align="center" style="background:#F5F5F5;" + |Might be physiologic adaptation of pregnancy
! colspan="2" align="center" style="background:#DCDCDC;" + |[[Cryoglobulinemia|Mixed cryoglobulinemia]]<ref name="pmid3818970">{{cite journal |vauthors=Patel KJ, Hughes CG, Parapia LA |title=Pseudoleucocytosis and pseudothrombocytosis due to cryoglobulinaemia |journal=J. Clin. Pathol. |volume=40 |issue=1 |pages=120–1 |date=January 1987 |pmid=3818970 |pmc=1140844 |doi= |url=}}</ref>
| align="Left" style="background:#F5F5F5;" + |
* Falsely elevated
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Pregnant women
| align="center" style="background:#F5F5F5;" + |
* Positive history of mild thrombocytopenia
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Any
| align="Left" style="background:#F5F5F5;" + |
* [[Cancer|Malignancy]]
* [[Autoimmune disease]]
* [[Infection]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
* Atypical cutaneous ulcers
* Palpable [[purpura]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="Left" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |
* [[Headache]]
| align="center" style="background:#F5F5F5;" + |Nl
* [[Confusion]]
| align="center" style="background:#F5F5F5;" + |Nl
* Blurry or loss of [[Visual system|vision]]
| align="center" style="background:#F5F5F5;" + |Nl
* [[Arthralgia|Joint pain]]
| align="center" style="background:#F5F5F5;" + |NA
* Generalized [[Muscle weakness|weakness]]
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + |Nl to ↓
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Cytoplasmic fragments
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |Diagnosis of exclusion
| align="center" style="background:#F5F5F5;" + |[[Skin biopsy]]
| align="center" style="background:#F5F5F5;" + |
| align="Left" style="background:#F5F5F5;" + |
* Self-limited condition
* [[Vasculitis]]
* [[Neuropathy]]
* [[Raynaud's phenomenon|Raynaud phenomenon]]
|-
|-
! colspan="2" align="center" style="background:#DCDCDC;" + |[[HELLP syndrome]]<ref name="Barnhart2015">{{cite journal|last1=Barnhart|first1=Lynette|title=HELLP Syndrome and the Effects on the Neonate|journal=Neonatal Network|volume=34|issue=5|year=2015|pages=269–273|issn=07300832|doi=10.1891/0730-0832.34.5.269}}</ref><ref name="HaramSvendsen2009">{{cite journal|last1=Haram|first1=Kjell|last2=Svendsen|first2=Einar|last3=Abildgaard|first3=Ulrich|title=The HELLP syndrome: Clinical issues and management. A Review|journal=BMC Pregnancy and Childbirth|volume=9|issue=1|year=2009|issn=1471-2393|doi=10.1186/1471-2393-9-8}}</ref>
! colspan="2" align="center" style="background:#DCDCDC;" + |Cytoplasmic fragments<ref name="AkinciHacibekiroglu2013">{{cite journal|last1=Akinci|first1=Sema|last2=Hacibekiroglu|first2=Tuba|last3=Basturk|first3=Abdulkadir|last4=Bakanay|first4=Sule Mine|last5=Guney|first5=Tekin|last6=Dilek|first6=Imdat|title=Pseudothrombocytosis due to Microerythrocytosis: A Case of Beta Thalassemia Minor Complicated with Iron Deficiency Anemia|journal=Acta Haematologica|volume=130|issue=2|year=2013|pages=61–63|issn=1421-9662|doi=10.1159/000346434}}</ref>
| align="center" style="background:#F5F5F5;" + |Unknown
| align="Left" style="background:#F5F5F5;" + |
* Falsely elevated
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Pregnant > 25 years
| align="center" style="background:#F5F5F5;" + |
* History of [[Pre-eclampsia|preeclampsia]]
*
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |Any
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |Normal
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + | +
| align="center" style="background:#F5F5F5;" + |
* [[Tenderness (medicine)|Abdominal tenderness]]
* [[Ascites]]
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |↓
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |
| align="center" style="background:#F5F5F5;" + | -
* [[Red blood cell|Schistocytes]]
| align="center" style="background:#F5F5F5;" + | -
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |↑
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="Left" style="background:#F5F5F5;" + |
* Cytoplasmic fragments
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |Nl
| align="center" style="background:#F5F5F5;" + |[[Proteinuria]]
| align="center" style="background:#F5F5F5;" + |Repeat
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |NA
| align="center" style="background:#F5F5F5;" + |Lab abnormalities
| align="center" style="background:#F5F5F5;" + |
* Elevated [[Liver function tests|liver enzymes]] and [[bilirubin]]
* Multiorgan dysfunction
|-
! colspan="2" |Idiopathic cyclic thrombocytopenia<ref name="Go2005">{{cite journal|last1=Go|first1=Ronald S.|title=Idiopathic cyclic thrombocytopenia|journal=Blood Reviews|volume=19|issue=1|year=2005|pages=53–59|issn=0268960X|doi=10.1016/j.blre.2004.05.001}}</ref>
|Unknown
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
|-
! colspan="2" |Pseudothrombocytopenia
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
!
|}
|}


==References==
==References==
{{reflist|2}}
{{reflist|2}}

Latest revision as of 16:45, 2 October 2018

Thrombocytosis Microchapters

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Overview

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]

Overview

Thrombocytosis Differential Diagnosis

Differentiating the diseases that can cause thrombocytosis :

Category Condition Etiology Mechanism Inherited Acquried Clinical manifestations Para−clinical findings Gold standard Associated findings
Demography History Symptoms Signs
Lab Findings Imaging
Fever Appearance Bleeding BP Splenomegaly Jaundice Other CBC PBS Bone marrow exam PT PTT
Increased megakaryocyte proliferation Accelerated platelet release Reduced platelet turnover Plt HB WBC
Autonomous thrombocytosis Hematologic malignancies Essential thrombocythemia[1]
  • Acquired mutation of JAK2, CALR, or MPL
+ - - - + Mean age >60 years old, female > male ±
  • Flushing
+ Nl + - ↑↑ Nl Nl Bone marrow biopsy
  • Thrombo-hemorrhagic complications
Polycythemia vera[2]
  • Acquired mutation of JAK2
+ - - - + Mean age >60 years old -
  • Facial plethora
± Nl + - ↑↑ Bone marrow biopsy
  • Thrombo-hemorrhagic complications
Primary myelofibrosis[3] + - - - + Mean age >60 years old, male> female - + Nl + + ↑/↓ Bone marrow biopsy
  • Thrombo-hemorrhagic complications
  • Variable risk for development of acute leukemia
Chronic myeloid leukemia[4] + - - - + Mean age >50 years old, male> female History of exposure to: + + Nl + -
  • ↑ Proportion of metamyelocytes and other white blood cells at various stages of maturation
Bone marrow biopsy
  • Increase of immature myeloid cells
Acute myeloid leukemia[5]
  • Unknown
+ - - - + Median age of 63 years old + + Nl + + ↑/↓ ↑/↓ NA Bone marrow examination + clinical manifestation
Myelodysplastic syndromes[6] + - - ± + Elderly Exposure to: ± + Nl + + ↑/↓ Nl Nl NA Bone marrow examination + clinical manifestation
Condition Etiology Increased megakaryocyte proliferation Accelerated platelet release Reduced platelet turnover Inherited Acquried Demography History Fever Appearance Bleeding BP Splenomegaly Jaundice Other signs Plt HB WBC PBS Bone marrow exam PT PTT Imaging Gold standard Associated findings
Familial thrombocytosis[7][8] + - - + - Rare familial disease, middle age male and female -
  • Normal
- Nl - - - Nl Nl Nl Nl NA Genetic study
Reactive thrombocytosis Anemia/

blood loss[9]

+ - - - + Any - + Nl to ↓ - - Depends on the etilogy Nl Nl Nl NA Clinical manifestation
  • Required iron studies
Infection Chronic infections + + - - + Any + ± Nl to ↓ - ± Depends on the etilogy Nl Nl
  • Depends on the etiology
Culture Depends on the etilogy
Tuberculosis + + - - + Any
  • History of close contact
+
  • Cachectic
- Nl - - Nl Nl Nl
  • Cavitation on chest imaging
Clinical manifestation+ culture
Acute bacterial and viral infections + + - - + Any
  • History of close contact
+
  • Acutely ill
- Nl - - Depends on the etilogy Nl Nl
  • Depends on the etiology
Clinical manifestation+ culture
  • Depends on the etiology
Inflammation Vasculitides[10]
  • Unknown
+ + - ± + Any
  • Family history of rheumatologic disorders
+
  • Acutely ill
+ Nl - - Nl to ↓ Nl to ↑ Nl to ↑
  • Depends on the type
Clinical manifestation+ culture
  • Depends on the type
Acute pancreatitis + + - - + Any +
  • Acutely ill
- Nl to ↓ - + Nl to ↓ Nl to ↑ Nl to ↑ Clinical manifestation
Malignancy[11] + + - ± ± Any
  • Prior malignancy
  • Exposure to chemicals
  • Family history of malignancy
+
  • Cachectic
- Nl to ↓ Depends on the type -
  • Tenderness
Nl to ↓ Nl to ↑ Nl to ↑
  • Depends on the type
Biopsy
Condition Etiology Increased megakaryocyte proliferation Accelerated platelet release Reduced platelet turnover Inherited Acquried Demography History Fever Appearance Bleeding BP Splenomegaly Jaundice Other signs Plt HB WBC PBS Bone marrow exam PT PTT Imaging Gold standard Associated findings
Tissue damage Thermal burns[12] - + - - + Any
  • Thermal burn
+
  • Acutely ill
± Nl to ↓ - ± Nl to ↓ Nl to ↑ Nl to ↑
  • Depend on the involvement
Clinical manifestation
Trauma[13] - + - - + Any ±
  • Acutely ill
± Nl to ↓ - - Nl to ↓ Nl Nl
  • Depend on the involvement
  • Fracture on X-rays
Clinical manifestation
  • Sepsis
  • Associated with higher rates of complications
Myocardial infarction[14] - + - - + Elderly ±
  • Acutely ill
  • Diaphoretic
- Nl to ↓ - - Nl to ↓ Nl Nl Clinical manifestation + enzymes elevation
Medication[15] Vincristine[16] - + - - + Any -
  • Cachectic
- Nl + - Nl to ↓ Nl to ↑ Nl to ↑
  • Depends on the etiology
Clinical manifestation + history of drug consumption
Epinephrine[17]
  • Unknown
  • Activation of chloride transport
+ + - - + Any -
  • Acutely ill
  • Diaphoretic
- Nl to ↓ - - Nl Nl
  • Depends on the etiology
Clinical manifestation + history of drug consumption
Glucocorticoids[18]
  • Stimulate megakaryocytopoiesis
+ + - - + Any + Nl to ↓ - - Nl to ↓ Nl to ↑ Nl to ↑
  • Depends on the etiology
Clinical manifestation + history of drug consumption
Antibiotics[19] + + - - + Any + Nl ± Nl - -
  • Depends on the etiology
Nl Nl Nl
  • Depends on the etiology
Clinical manifestation + history of drug consumption
Thrombopoietin[20][21]
  • Stimulate megakaryocytopoiesis
  • Thrombopoiesis
+ - - - + Any +
  • Chronically ill
- Nl to ↑ - -
  • Depends on the etiology
Nl Nl
  • Depends on the etiology
Clinical manifestation + history of drug consumption
Condition Etiology Increased megakaryocyte proliferation Accelerated platelet release Reduced platelet turnover Inherited Acquried Demography History Fever Appearance Bleeding BP Splenomegaly Jaundice Other signs Plt HB WBC PBS Bone marrow exam PT PTT Imaging Gold standard Associated findings
Other Post-splenectomy or functional asplenia[22] - - + - + Any ±
  • Normal
+ Nl Asplenia - - Nl Nl Clinical manifestation
Allergic reactions[23]
  • Unknown
  • Activation of chloride transport
+ + - - + Any -
  • Acutely ill
  • Diaphoretic
- Nl to ↓ - - Nl Nl
  • Depends on the etiology
Clinical manifestation
  • Poor prognosis
Exercise[24] + + - - + Athlete
  • Exercise
- Normal - Nl - - NA Nl Nl
  • Depends on the etiology
Clinical manifestation NA
Pseudothrombocytosis Mixed cryoglobulinemia[25]
  • Falsely elevated
- - - - - Any -
  • Atypical cutaneous ulcers
  • Palpable purpura
- Nl - - Nl to ↓
  • Cytoplasmic fragments
Nl Nl Nl NA Skin biopsy
Cytoplasmic fragments[26]
  • Falsely elevated
- - - - - Any NA - Normal - Nl - - NA Nl Nl
  • Cytoplasmic fragments
Nl Nl Nl Nl Repeat NA

References

  1. Brière, Jean B (2007). Orphanet Journal of Rare Diseases. 2 (1): 3. doi:10.1186/1750-1172-2-3. ISSN 1750-1172. Missing or empty |title= (help)
  2. Arber, D. A.; Orazi, A.; Hasserjian, R.; Thiele, J.; Borowitz, M. J.; Le Beau, M. M.; Bloomfield, C. D.; Cazzola, M.; Vardiman, J. W. (2016). "The 2016 revision to the World Health Organization classification of myeloid neoplasms and acute leukemia". Blood. 127 (20): 2391–2405. doi:10.1182/blood-2016-03-643544. ISSN 0006-4971.
  3. Tefferi, Ayalew; Lasho, Terra L.; Jimma, Thitina; Finke, Christy M.; Gangat, Naseema; Vaidya, Rakhee; Begna, Kebede H.; Al-Kali, Aref; Ketterling, Rhett P.; Hanson, Curtis A.; Pardanani, Animesh (2012). "One Thousand Patients With Primary Myelofibrosis: The Mayo Clinic Experience". Mayo Clinic Proceedings. 87 (1): 25–33. doi:10.1016/j.mayocp.2011.11.001. ISSN 0025-6196.
  4. Thompson, Philip A.; Kantarjian, Hagop M.; Cortes, Jorge E. (2015). "Diagnosis and Treatment of Chronic Myeloid Leukemia in 2015". Mayo Clinic Proceedings. 90 (10): 1440–1454. doi:10.1016/j.mayocp.2015.08.010. ISSN 0025-6196.
  5. Rose-Inman, Hayley; Kuehl, Damon (2014). "Acute Leukemia". Emergency Medicine Clinics of North America. 32 (3): 579–596. doi:10.1016/j.emc.2014.04.004. ISSN 0733-8627.
  6. Natelson, Ethan A.; Pyatt, David (2013). "Acquired Myelodysplasia or Myelodysplastic Syndrome: Clearing the Fog". Advances in Hematology. 2013: 1–11. doi:10.1155/2013/309637. ISSN 1687-9104.
  7. Ding, J. (2004). "Familial essential thrombocythemia associated with a dominant-positive activating mutation of the c-MPL gene, which encodes for the receptor for thrombopoietin". Blood. 103 (11): 4198–4200. doi:10.1182/blood-2003-10-3471. ISSN 0006-4971.
  8. Wiestner, A.; Padosch, S. A.; Ghilardi, N.; Cesar, J. M.; Odriozola, J.; Shapiro, A.; Skoda, R. C. (2000). "Hereditary thrombocythaemia is a genetically heterogeneous disorder: exclusion of TPO and MPL in two families with hereditary thrombocythaemia". British Journal of Haematology. 110 (1): 104–109. doi:10.1046/j.1365-2141.2000.02169.x. ISSN 0007-1048.
  9. Kuter, David J. (1996). "The Physiology of Platelet Production". Stem Cells. 14 (S1): 88–101. doi:10.1002/stem.5530140711. ISSN 1066-5099.
  10. Hamblin T, Oscier D (September 1978). "Polyarteritis presenting with thrombocytosis and palliated by plasma exchange". Postgrad Med J. 54 (635): 615–7. PMC 2425233. PMID 82963.
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