Thrombocytosis differential diagnosis: Difference between revisions
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! rowspan="6" align="center" style="background:#DCDCDC;" |Hematologic malignancies | ! rowspan="6" align="center" style="background:#DCDCDC;" |Hematologic malignancies | ||
! 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:#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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Acquired mutation of ''[[Janus kinase|JAK2]], CALR,'' or ''MPL'' | * Acquired mutation of ''[[Janus kinase|JAK2]], CALR,'' or ''MPL'' | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
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| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + |Mean age >60 years old, female > male | | align="center" style="background:#F5F5F5;" + |Mean age >60 years old, female > male | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Vascular occlusive events and [[Bleeding|hemorrhages]] | * Vascular occlusive events and [[Bleeding|hemorrhages]] | ||
| align="center" style="background:#F5F5F5;" + |± | | align="center" style="background:#F5F5F5;" + |± | ||
| align=" | | 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Erythromelalgia]] | * [[Erythromelalgia]] | ||
* [[Transient ischemic attack|Transient ischemic attacks]] | * [[Transient ischemic attack|Transient ischemic attacks]] | ||
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| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Large [[Platelet|platelets]] | * Large [[Platelet|platelets]] | ||
* [[Megakaryocyte]] fragments | * [[Megakaryocyte]] fragments | ||
* [[Platelet]] aggregates | * [[Platelet]] aggregates | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Increased cellularity | * Increased cellularity | ||
* Hyperplasia and clustering of megakaryocytes | * [[Hyperplasia]] and clustering of [[megakaryocytes]] | ||
* Bone marrow [[reticulin]] may be increased with no [[collagen]] 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Splenomegaly]] on abdominal CT | * [[Splenomegaly]] on abdominal CT | ||
* [[VTE]] on spiral chest CT | * [[VTE]] on spiral chest CT | ||
* [[Deep vein thrombosis|DVT]] on ultrasound | * [[Deep vein thrombosis|DVT]] on ultrasound | ||
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]] | | align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]] | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Thrombo-hemorrhagic complications | * Thrombo-hemorrhagic complications | ||
|- | |- | ||
! 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:#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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Acquired mutation of ''JAK2'' | * Acquired mutation of ''[[JAK2]]'' | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + | - | | align="center" style="background:#F5F5F5;" + | - | ||
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| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + |Mean age >60 years old | | align="center" style="background:#F5F5F5;" + |Mean age >60 years old | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Family history of [[polycythemia vera]] | * Family history of [[polycythemia vera]] | ||
* Ashkenazi Jewish descent | * Ashkenazi Jewish descent | ||
| align="center" style="background:#F5F5F5;" + | - | | align="center" style="background:#F5F5F5;" + | - | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Facial plethora | |||
| 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Erythromelalgia]] | * [[Erythromelalgia]] | ||
* [[Itch|Pruritus]] | * [[Itch|Pruritus]] | ||
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| align="center" style="background:#F5F5F5;" + |↑↑ | | align="center" style="background:#F5F5F5;" + |↑↑ | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Panmyelosis including prominent [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation | * Panmyelosis including prominent [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Panmyelosis including prominent [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation | * Panmyelosis including prominent [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation | ||
* Pleomorphic, mature [[Megakaryocyte|megakaryocytes]] | * Pleomorphic, mature [[Megakaryocyte|megakaryocytes]] | ||
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| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | | ||
* [[Splenomegaly]] or splenic [[Infarction|infarcts]] on imaging | |||
* 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]] | | align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]] | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Thrombo-hemorrhagic complications | * Thrombo-hemorrhagic complications | ||
|- | |- | ||
! 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:#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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Bone marrow]] fibrosis | * [[Bone marrow]] fibrosis | ||
* [[Mutation]] in ''[[Janus kinase|JAK2]], CALR'', or ''MPL'' | * [[Mutation]] in ''[[Janus kinase|JAK2]], CALR'', or ''MPL'' | ||
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| 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;" + |Mean age >60 years old, male> female | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Other [[Myeloproliferative neoplasm|myeloproliferative]] disorders | * Other [[Myeloproliferative neoplasm|myeloproliferative]] disorders | ||
* [[Radioactive contamination|Radiation exposure]] | * [[Radioactive contamination|Radiation exposure]] | ||
* Chemicals exposure | * Chemicals exposure | ||
| align="center" style="background:#F5F5F5;" + | - | | align="center" style="background:#F5F5F5;" + | - | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Pallor]] | |||
* [[Bruising]] | * [[Bruising]] | ||
* [[Nodules|Skin nodules]] | * [[Nodules|Skin nodules]] | ||
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| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Fatigue]] | * [[Fatigue]] | ||
* [[Abdominal pain]] | * [[Abdominal pain]] | ||
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| align="center" style="background:#F5F5F5;" + |↓ | | align="center" style="background:#F5F5F5;" + |↓ | ||
| align="center" style="background:#F5F5F5;" + |↓ | | align="center" style="background:#F5F5F5;" + |↓ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Decreased number of [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation | * Decreased number of [[Red blood cell|erythroid]], [[granulocyte]], and [[megakaryocyte]] proliferation | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Proliferation and atypia of [[megakaryocytes]] | * Proliferation and atypia of [[megakaryocytes]] | ||
* Reticulin or [[Collagen|collagen fibrosis]] | * Reticulin or [[Collagen|collagen fibrosis]] | ||
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| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Diffuse bone [[sclerosis]] on [[CT angiography|CT]] | * Diffuse bone [[sclerosis]] on [[CT angiography|CT]] | ||
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]] | | align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]] | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Thrombo-hemorrhagic complications | * Thrombo-hemorrhagic complications | ||
*Variable risk for development of [[acute leukemia]] | * Variable risk for development of [[acute leukemia]] | ||
|- | |- | ||
! 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:#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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Translocation (9;22), the [[Philadelphia chromosome]] | * Translocation (9;22), the [[Philadelphia chromosome]] | ||
* [[BCR/ABL|''BCR-ABL1'' oncogene]] | * [[BCR/ABL|''BCR-ABL1'' oncogene]] | ||
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| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + |Mean age >50 years old, male> female | | align="center" style="background:#F5F5F5;" + |Mean age >50 years old, male> female | ||
| align=" | | align="Left" style="background:#F5F5F5;" + |History of exposure to: | ||
* [[Ionizing radiation]] | * [[Ionizing radiation]] | ||
* [[Formaldehyde]] | * [[Formaldehyde]] | ||
* [[Benzene]] | * [[Benzene]] | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Pallor]] | * [[Pallor]] | ||
* [[Bruises]] | * [[Bruises]] | ||
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| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + | - | | align="center" style="background:#F5F5F5;" + | - | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Fatigue]] | * [[Fatigue]] | ||
* [[Abdominal pain]] | * [[Abdominal pain]] | ||
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| align="center" style="background:#F5F5F5;" + |↓ | | align="center" style="background:#F5F5F5;" + |↓ | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Immature [[White blood cells|leukocytes]] | * Immature [[White blood cells|leukocytes]] | ||
* Leukemic blasts | * Leukemic blasts | ||
* Leukoerythroblastic features | * Leukoerythroblastic features | ||
* Giant platelets | * Giant [[platelets]] | ||
* Blast crisis | * Blast crisis | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* ↑ Proportion of metamyelocytes and other [[white blood cells]] at various stages of maturation | * ↑ 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Enlarged [[Lymph node|lymph nodes]] and [[splenomegaly]] on [[Computed tomography|CT scan]] | * Enlarged [[Lymph node|lymph nodes]] and [[splenomegaly]] on [[Computed tomography|CT scan]] | ||
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]] | | align="center" style="background:#F5F5F5;" + |[[Bone marrow examination|Bone marrow biopsy]] | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Increase of immature myeloid cells | * Increase of immature myeloid cells | ||
|- | |- | ||
! 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;" + |[[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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Unknown | * Unknown | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
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| 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;" + |Median age of 63 years old | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* History of hematological disorder | * History of [[hematological]] disorder | ||
* History of [[chemotherapy]] and [[ionizing radiation]] | * History of [[chemotherapy]] and [[ionizing radiation]] | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Pallor]] | * [[Pallor]] | ||
* [[Chloroma|Leukemia cutis]] | * [[Chloroma|Leukemia cutis]] | ||
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| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Fatigue]] | * [[Fatigue]] | ||
* Bone [[tenderness]] | * Bone [[tenderness]] | ||
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| align="center" style="background:#F5F5F5;" + |↓ | | align="center" style="background:#F5F5F5;" + |↓ | ||
| align="center" style="background:#F5F5F5;" + |↑/↓ | | align="center" style="background:#F5F5F5;" + |↑/↓ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Leukemic blasts | * [[Leukemic]] blasts | ||
* Leukoerythroblastic features | * Leukoerythroblastic features | ||
* Giant [[Platelet|platelets]] | * Giant [[Platelet|platelets]] | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* "Dry tap" on aspiration | * "Dry tap" on aspiration | ||
* Leukemic cells | * [[Leukemic]] cells | ||
| align="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 | | align="center" style="background:#F5F5F5;" + |NA | ||
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] + clinical manifestation | | align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] + clinical manifestation | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Infection|Infections]] of variable severity | * [[Infection|Infections]] of variable severity | ||
* [[Nerve palsy|Cranial nerve palsy]] | * [[Nerve palsy|Cranial nerve palsy]] | ||
|- | |- | ||
! 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;" + |[[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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Unknown | * Unknown | ||
* Mutation | * [[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;" + |Elderly | | align="center" style="background:#F5F5F5;" + |Elderly | ||
| align=" | | align="Left" style="background:#F5F5F5;" + |Exposure to: | ||
* [[Chemotherapy]] | * [[Chemotherapy]] | ||
* [[Radiation therapy]] | * [[Radiation therapy]] | ||
* [[Tobacco smoking|Tobacco smoke]] | * [[Tobacco smoking|Tobacco smoke]] | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | ± | ||
| align=" | | align="left" style="background:#F5F5F5;" + | | ||
* [[Petechia|Petechiae]] | |||
* [[Purpura]] | |||
* Diffuse erythematous [[rash]] | |||
| 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Shortness of breath]] | * [[Shortness of breath]] | ||
* [[Fatigue]] | * [[Fatigue]] | ||
Line 301: | Line 308: | ||
| align="center" style="background:#F5F5F5;" + |↓ | | align="center" style="background:#F5F5F5;" + |↓ | ||
| align="center" style="background:#F5F5F5;" + |↓ | | align="center" style="background:#F5F5F5;" + |↓ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Large platelets | * Large platelets | ||
* Ovalomacrocytosis | * Ovalomacrocytosis | ||
Line 307: | Line 314: | ||
* [[Howell-Jolly body]] | * [[Howell-Jolly body]] | ||
* Pelger-Huet anomaly | * Pelger-Huet anomaly | ||
* Ring sideroblasts | * Ring [[Sideroblastic|sideroblasts]] | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Impaired [[myeloid]] maturation | * Impaired [[myeloid]] maturation | ||
* [[Congenital dyserythropoietic anemia|Dyserythropoiesis]] | * [[Congenital dyserythropoietic anemia|Dyserythropoiesis]] | ||
Line 319: | Line 326: | ||
| align="center" style="background:#F5F5F5;" + |NA | | align="center" style="background:#F5F5F5;" + |NA | ||
| align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] + clinical manifestation | | align="center" style="background:#F5F5F5;" + |[[Bone marrow examination]] + clinical manifestation | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Thrombosis]] at unusual sites | * [[Thrombosis]] at unusual sites | ||
* Thrombosis in younger patients | * [[Thrombosis]] in younger patients | ||
* Might transformed to [[acute leukemia]] | * Might transformed to [[acute leukemia]] | ||
|- | |- | ||
Line 352: | Line 359: | ||
|- | |- | ||
! 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;" |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> | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Mutation in ''TPO'' and ''MPL'' | * [[Mutation]] in ''TPO'' and ''MPL'' | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + | - | | align="center" style="background:#F5F5F5;" + | - | ||
Line 359: | Line 366: | ||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + | - | | align="center" style="background:#F5F5F5;" + | - | ||
| align="center" style="background:#F5F5F5;" + |Rare familial disease | | align="center" style="background:#F5F5F5;" + |Rare familial disease, middle age male and female | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Family history of thrombocytosis | * Family history of [[thrombocytosis]] | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | - | ||
| align=" | | 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;" + |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;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + |Nl | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Giant [[Platelet|platelets]] | * Giant [[Platelet|platelets]] | ||
* [[Platelet]] conglomerates | * [[Platelet]] conglomerates | ||
* Bizarre forms | * Bizarre forms | ||
* [[Myelofibrosis|Megakaryocytic]] fragments | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align=" | | 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="center" style="background:#F5F5F5;" + |NA | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Genetic study | ||
| align="Left" style="background:#F5F5F5;" + | | |||
* Polyclonal hematopoiesis | * Polyclonal hematopoiesis | ||
*Familial [[polycythemia vera]] | * Familial [[polycythemia vera]] | ||
*Familial [[Myelofibrosis|primary myelofibrosis]] | * Familial [[Myelofibrosis|primary myelofibrosis]] | ||
|- | |- | ||
! rowspan="20" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reactive thrombocytosis | ! rowspan="20" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Reactive thrombocytosis | ||
! align="center" style="background:#DCDCDC;" + |Anemia/ | ! align="center" style="background:#DCDCDC;" + |[[Anemia]]/ | ||
blood loss | [[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 | * [[Iron deficiency anemia|Iron deficiency]] | ||
* Blood loss | * [[Bleeding|Blood loss]] | ||
* Hemolysis | * [[Hemolysis]] | ||
| align="center" style="background:#F5F5F5;" + | | | 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;" + | + | ||
| 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;" + |Nl | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * [[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=" | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + |NA | |||
| align="center" style="background:#F5F5F5;" + |Clinical manifestation | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Required iron studies | * Required iron studies | ||
|- | |- | ||
! rowspan="3" align="center" style="background:#DCDCDC;" |Infection | ! rowspan="3" align="center" style="background:#DCDCDC;" |[[Infection]] | ||
! align="center" style="background:#DCDCDC;" |Chronic infections | ! 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;" + | + | ||
| 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=" | | 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;" + | | |||
| align="center" style="background:#F5F5F5;" + | | |||
| align="center" style="background:#F5F5F5;" + | | |||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |↓ | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Microcytic [[anemia]] | ||
| align="center" style="background:#F5F5F5;" + | | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * 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="Left" style="background:#F5F5F5;" + | | |||
* Depends on the etiology | |||
| align="center" style="background:#F5F5F5;" + |Culture | |||
| align="center" style="background:#F5F5F5;" + |Depends on the etilogy | |||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Tuberculosis | ! align="center" style="background:#DCDCDC;" + |[[Tuberculosis]] | ||
| 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;" + | + | ||
| 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=" | | 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;" + | | ||
| 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Large [[platelets]] | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Proliferation of [[Megakaryocyte|megakaryocytes]] | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="Left" style="background:#F5F5F5;" + | | |||
* Cavitation on chest imaging | |||
| align="center" style="background:#F5F5F5;" + |Clinical manifestation+ culture | |||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | | ||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Acute bacterial and viral infections | ! align="center" style="background:#DCDCDC;" + |Acute bacterial and viral 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;" + | + | ||
| 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=" | | 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="center" style="background:#F5F5F5;" + |↑ | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Large [[platelets]] | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Proliferation of [[Megakaryocyte|megakaryocytes]] | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Depends on the etiology | |||
| align="center" style="background:#F5F5F5;" + |Clinical manifestation+ culture | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Depends on the etiology | |||
|- | |- | ||
! rowspan="3" align="center" style="background:#DCDCDC;" |Inflammation | ! rowspan="3" align="center" style="background:#DCDCDC;" |[[Inflammation]] | ||
! align="center" style="background:#DCDCDC;" |Vasculitides | ! 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:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
* 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;" + |Any | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Family history of rheumatologic disorders | |||
| 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;" + | + | ||
| 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* [[Arthritis]] | |||
| 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * [[Microcytic anemia]] | ||
| align="center" style="background:#F5F5F5;" + | | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Proliferation of [[Megakaryocyte|megakaryocytes]] | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align=" | | 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;" + |Acute pancreatitis | ! align="center" style="background:#DCDCDC;" + |[[Acute pancreatitis]] | ||
| 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;" + | | |||
* [[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=" | | align="Left" style="background:#F5F5F5;" + | | ||
| | * [[Tenderness (medicine)|Abdominal tenderness]] | ||
* [[Nausea and vomiting|N/V]] | |||
* [[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=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Large [[platelets]] | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Proliferation of [[Megakaryocyte|megakaryocytes]] | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Diffusely enlarged and hypoechoic [[pancreas]] on abdominal [[ultrasound]] | |||
* Focal or diffuse enlargement of the [[pancreas]] with heterogeneous enhancement on abdominal [[Computed tomography|CT scan]] | |||
| align="center" style="background:#F5F5F5;" + |Clinical manifestation | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Rarely progress to severe [[inflammation]] and [[necrosis]] | |||
* Organ failure | |||
|- | |- | ||
! align="center" style="background:#DCDCDC;" |Malignancy | ! 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;" + |± | |||
| 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Cachectic | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + |Depends on the type | |||
| 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=" | |||
| 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Microcytic [[anemia]] | ||
| align="center" style="background:#F5F5F5;" + | | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Proliferation of [[Megakaryocyte|megakaryocytes]] | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align="Left" style="background:#F5F5F5;" + | | |||
* Depends on the type | |||
| align="center" style="background:#F5F5F5;" + |[[Biopsy]] | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Potential effective predictor of overall survival | |||
* [[Venous thromboembolism]] | |||
|- | |- | ||
! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition | ! colspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Condition | ||
Line 616: | Line 686: | ||
|- | |- | ||
! rowspan="3" align="center" style="background:#DCDCDC;" + |Tissue damage | ! rowspan="3" align="center" style="background:#DCDCDC;" + |Tissue damage | ||
! align="center" style="background:#DCDCDC;" + |Thermal burns | ! 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> | ||
| align="center" style="background:#F5F5F5;" + | | | 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;" + | - | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Any | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Thermal burn | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | + | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * 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="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="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align=" | * Large numbers of microspherocytes | ||
| | | 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 to ↑ | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Depend on the involvement | ||
| align="center" style="background:#F5F5F5;" + |Clinical manifestation | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Sepsis]] | |||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Trauma | ! 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="center" style="background:#F5F5F5;" + | | | 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;" + | - | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | 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=" | | 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;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Tenderness]] | |||
* [[Bone fracture|Fracture]] | |||
| align="center" style="background:#F5F5F5;" + |↑ | |||
| align="center" style="background:#F5F5F5;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| | * 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=" | | align="center" style="background:#F5F5F5;" + |Nl | ||
| | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * 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 | |||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + |Myocardial infarction | ! 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;" + | | | 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;" + | - | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | 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=" | | 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;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Chest pain]] | |||
* [[Dyspnea]] | |||
* [[Nausea and vomiting|N/V]] | |||
* [[Coma]] | |||
| align="center" style="background:#F5F5F5;" + |↑ | |||
| align="center" style="background:#F5F5F5;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align="center" style="background:#F5F5F5;" + | | * Large numbers of microspherocytes | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Proliferation of [[Megakaryocyte|megakaryocytes]] | ||
| | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align=" | | 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 | |||
|- | |- | ||
! rowspan=" | ! 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:#DCDCDC;" + | | ! 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="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" 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;" + | - | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | - | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | 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;" + | | * Drug consumption | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + | - | ||
| align=" | | 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;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + | + | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Abdominal pain]] | |||
* [[Diarrhea]] | |||
* [[Dizziness]] | |||
| align="center" style="background:#F5F5F5;" + |↑ | |||
| align="center" style="background:#F5F5F5;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align=" | * Large numbers of microspherocytes | ||
| | | 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=" | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * Depends on the etiology | ||
| align="center" style="background:#F5F5F5;" + |Clinical manifestation + history of drug consumption | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Neuropathy]] | |||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + | | ! 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;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Unknown | ||
| align="center" style="background:#F5F5F5;" + | | * 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=" | | 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=" | | align="center" style="background:#F5F5F5;" + | - | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Acutely ill | ||
* Diaphoretic | |||
| 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;" + | | |||
* [[Dizziness]] | |||
* [[Tremor]] | |||
* [[Anxiety]] | |||
* [[Dyspnea]] | |||
| align="center" style="background:#F5F5F5;" + |↑ | |||
| align="center" style="background:#F5F5F5;" + |↑ | |||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| | | 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=" | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * 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;" + | | ! 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=" | | 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=" | | align="center" style="background:#F5F5F5;" + |Any | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * [[Cancer|Malignancy]] | ||
| align=" | * [[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=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Easy [[Bruise|bruising]] | |||
| align="center" style="background:#F5F5F5;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Abdominal pain]] | |||
* [[Muscle weakness]] | |||
* [[Growth failure]] | |||
* [[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=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| | * Large numbers of microspherocytes | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Proliferation of [[Megakaryocyte|megakaryocytes]] | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align="center" style="background:#F5F5F5;" + | | | align="center" style="background:#F5F5F5;" + |Nl to ↑ | ||
| align=" | | 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]] | |||
|- | |- | ||
! align="center" style="background:#DCDCDC;" + | | ! 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> | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Unclear | ||
| align="center" style="background:#F5F5F5;" + | | * Stimulate megakaryocytopoiesis | ||
| align="center" style="background:#F5F5F5;" + | | * [[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=" | | align="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=" | | align="center" style="background:#F5F5F5;" + |± | ||
| align="center" style="background:#F5F5F5;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="Left" 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;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align=" | | align="Left" 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=" | | align="Left" style="background:#F5F5F5;" + | | ||
| align="center" style="background:#F5F5F5;" + | | * Depends on the etiology | ||
| align=" | | align="center" style="background:#F5F5F5;" + |Clinical manifestation + history of drug consumption | ||
| align="Left" style="background:#F5F5F5;" + | | |||
* Poor prognosis | |||
* [[Thrombosis]] | |||
|- | |- | ||
! | ! 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="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;" + |Any | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Malignancy]] | |||
* [[Chemotherapy]] | |||
| align="center" style="background:#F5F5F5;" + | + | | align="center" style="background:#F5F5F5;" + | + | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
* Chronically ill | |||
| 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;" + | | * Depends on the etiology | ||
| align="center" style="background:#F5F5F5;" + | | |||
| align=" | |||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align="center" style="background:#F5F5F5;" + |↑ | | align="center" style="background:#F5F5F5;" + |↑ | ||
| align=" | | align="Left" style="background:#F5F5F5;" + | | ||
| | * [[Myelofibrosis|Megakaryocytic]] fragments | ||
| align=" | * Large [[Platelet|platelets]] | ||
| | | 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=" | | align="center" style="background:#F5F5F5;" + |Nl | ||
| align="center" style="background:#F5F5F5;" + | | | align="Left" style="background:#F5F5F5;" + | | ||
| align=" | * 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" 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 | ||
Line 1,029: | Line 1,033: | ||
! 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" align="center" style="background:#DCDCDC;" + |Other | |||
! 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="Left" 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;" + |Any | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Prior surgical removal of the spleen | |||
* [[Sickle-cell disease|Sickle cell disease]] | |||
| align="center" style="background:#F5F5F5;" + |± | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Normal | |||
| 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="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;" + |Any | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[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;" + |Nl to ↓ | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Dizziness]] | |||
* [[Tremor]] | |||
* [[Anxiety]] | |||
* [[Dyspnea]] | |||
| 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 | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Poor prognosis | |||
|- | |||
! 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="Left" 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;" + |Athlete | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* Exercise | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + |Normal | |||
| 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;" + |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="Left" style="background:#F5F5F5;" + | | |||
* Depends on the etiology | |||
| align="center" style="background:#F5F5F5;" + |Clinical manifestation | |||
| align="center" style="background:#F5F5F5;" + |NA | |||
|- | |||
! rowspan="2" style="background: #4479BA; color: #FFFFFF; text-align: center;" |Pseudothrombocytosis | |||
! 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;" + |Any | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Cancer|Malignancy]] | |||
* [[Autoimmune disease]] | |||
* [[Infection]] | |||
| 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;" + |Nl | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Headache]] | |||
* [[Confusion]] | |||
* Blurry or loss of [[Visual system|vision]] | |||
* [[Arthralgia|Joint pain]] | |||
* 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;" + |NA | |||
| align="center" style="background:#F5F5F5;" + |[[Skin biopsy]] | |||
| align="Left" style="background:#F5F5F5;" + | | |||
* [[Vasculitis]] | |||
* [[Neuropathy]] | |||
* [[Raynaud's phenomenon|Raynaud phenomenon]] | |||
|- | |||
! 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="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;" + |Any | |||
| align="center" style="background:#F5F5F5;" + |NA | |||
| align="center" style="background:#F5F5F5;" + | - | |||
| align="center" style="background:#F5F5F5;" + |Normal | |||
| 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;" + |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;" + |Repeat | |||
| align="center" style="background:#F5F5F5;" + |NA | |||
|} | |} | ||
==References== | ==References== | ||
{{reflist|2}} | {{reflist|2}} |
Latest revision as of 16:45, 2 October 2018
Thrombocytosis Microchapters |
Diagnosis |
---|
Treatment |
Case Studies |
Thrombocytosis differential diagnosis On the Web |
American Roentgen Ray Society Images of Thrombocytosis differential diagnosis |
Risk calculators and risk factors for Thrombocytosis differential diagnosis |
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] |
|
+ | - | - | - | + | Mean age >60 years old, female > male |
|
± |
|
+ | Nl | + | - | ↑↑ | ↑ | ↑ |
|
|
Nl | Nl |
|
Bone marrow biopsy |
| |
Polycythemia vera[2] |
|
+ | - | - | - | + | Mean age >60 years old |
|
- |
|
± | Nl | + | - | ↑ | ↑↑ | ↑ |
|
|
↑ | ↑ |
|
Bone marrow biopsy |
| |||
Primary myelofibrosis[3] |
|
+ | - | - | - | + | Mean age >60 years old, male> female |
|
- | + | Nl | + | + |
|
↑/↓ | ↓ | ↓ |
|
|
↑ | ↑ | Bone marrow biopsy |
| ||||
Chronic myeloid leukemia[4] |
|
+ | - | - | - | + | Mean age >50 years old, male> female | History of exposure to: | + | + | Nl | + | - |
|
↑ | ↓ | ↑ |
|
|
↑ | ↑ |
|
Bone marrow biopsy |
| |||
Acute myeloid leukemia[5] |
|
+ | - | - | - | + | 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 |
|
- |
|
- | Nl | - | - | - | ↑ | Nl | Nl |
|
|
Nl | Nl | NA | Genetic study |
| ||
Reactive thrombocytosis | Anemia/ |
|
+ | - | - | - | + | Any |
|
- | + | Nl to ↓ | - | - | Depends on the etilogy | ↑ | ↓ | Nl |
|
|
Nl | Nl | NA | Clinical manifestation |
| ||
Infection | Chronic infections |
|
+ | + | - | - | + | Any |
|
+ | ± | Nl to ↓ | - | ± | Depends on the etilogy | ↑ | ↓ | ↑ |
|
|
Nl | Nl |
|
Culture | Depends on the etilogy | ||
Tuberculosis |
|
+ | + | - | - | + | Any |
|
+ |
|
- | Nl | - | - | ↑ | Nl | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation+ culture | ||||
Acute bacterial and viral infections |
|
+ | + | - | - | + | Any |
|
+ |
|
- | Nl | - | - | Depends on the etilogy | ↑ | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation+ culture |
| |||
Inflammation | Vasculitides[10] |
|
+ | + | - | ± | + | Any |
|
+ |
|
+ | Nl | - | - | ↑ | Nl to ↓ | ↑ |
|
|
Nl to ↑ | Nl to ↑ |
|
Clinical manifestation+ culture |
| ||
Acute pancreatitis |
|
+ | + | - | - | + | Any | + |
|
- | Nl to ↓ | - | + | ↑ | Nl to ↓ | ↑ |
|
|
Nl to ↑ | Nl to ↑ |
|
Clinical manifestation |
| ||||
Malignancy[11] |
|
+ | + | - | ± | ± | Any |
|
+ |
|
- | Nl to ↓ | Depends on the type | - |
|
↑ | Nl to ↓ | ↑ |
|
|
Nl to ↑ | Nl to ↑ |
|
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 |
|
+ |
|
± | Nl to ↓ | - | ± | ↑ | Nl to ↓ | ↑ |
|
|
Nl to ↑ | Nl to ↑ |
|
Clinical manifestation | |||
Trauma[13] |
|
- | + | - | - | + | Any |
|
± |
|
± | Nl to ↓ | - | - | ↑ | Nl to ↓ | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation |
| |||
Myocardial infarction[14] |
|
- | + | - | - | + | Elderly | ± |
|
- | Nl to ↓ | - | - | ↑ | Nl to ↓ | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation + enzymes elevation |
| ||||
Medication[15] | Vincristine[16] |
|
- | + | - | - | + | Any |
|
- |
|
- | Nl | + | - | ↑ | Nl to ↓ | ↑ |
|
|
Nl to ↑ | Nl to ↑ |
|
Clinical manifestation + history of drug consumption | |||
Epinephrine[17] |
|
+ | + | - | - | + | Any | - |
|
- | Nl to ↓ | - | - | ↑ | ↑ | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation + history of drug consumption |
| ||||
Glucocorticoids[18] |
|
+ | + | - | - | + | Any | + |
|
Nl to ↓ | - | - | ↑ | Nl to ↓ | ↑ |
|
|
Nl to ↑ | Nl to ↑ |
|
Clinical manifestation + history of drug consumption |
| |||||
Antibiotics[19] |
|
+ | + | - | - | + | Any | + | Nl | ± | Nl | - | - |
|
↑ | Nl | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation + history of drug consumption |
| |||
Thrombopoietin[20][21] |
|
+ | - | - | - | + | Any | + |
|
- | Nl to ↑ | - | - |
|
↑ | ↑ | ↑ |
|
|
Nl | Nl |
|
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 |
|
± |
|
+ | Nl | Asplenia | - | - | ↑ | ↓ | ↑ |
|
|
Nl | Nl | Clinical manifestation |
| ||
Allergic reactions[23] |
|
+ | + | - | - | + | Any | - |
|
- | Nl to ↓ | - | - | ↑ | ↑ | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation |
| ||||
Exercise[24] |
|
+ | + | - | - | + | Athlete |
|
- | Normal | - | Nl | - | - | NA | ↑ | ↑ | ↑ |
|
|
Nl | Nl |
|
Clinical manifestation | NA | ||
Pseudothrombocytosis | Mixed cryoglobulinemia[25] |
|
- | - | - | - | - | Any | - |
|
- | Nl | - | - |
|
↑ | Nl to ↓ | ↑ |
|
Nl | Nl | Nl | NA | Skin biopsy | |||
Cytoplasmic fragments[26] |
|
- | - | - | - | - | Any | NA | - | Normal | - | Nl | - | - | NA | ↑ | Nl | Nl |
|
Nl | Nl | Nl | Nl | Repeat | NA |
References
- ↑ 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) - ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ 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.
- ↑ Kuter, David J. (1996). "The Physiology of Platelet Production". Stem Cells. 14 (S1): 88–101. doi:10.1002/stem.5530140711. ISSN 1066-5099.
- ↑ 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.
- ↑ Yang, Chen; Jiang, Hui; Huang, Shaozhuo; Hong, Hui; Huang, Xiaowen; Wang, Xiaojie; Liao, Weixin; Wang, Xueyi; Chen, Xuewen; Jiang, Liming (2018). "The prognostic role of pretreatment thrombocytosis in gastric cancer". Medicine. 97 (31): e11763. doi:10.1097/MD.0000000000011763. ISSN 0025-7974.
- ↑ Dinsdale, R. J.; Devi, A.; Hampson, P.; Wearn, C. M.; Bamford, A. L.; Hazeldine, J.; Bishop, J.; Ahmed, S.; Watson, C.; Lord, J. M.; Moiemen, N.; Harrison, P. (2017). "Changes in novel haematological parameters following thermal injury: A prospective observational cohort study". Scientific Reports. 7 (1). doi:10.1038/s41598-017-03222-w. ISSN 2045-2322.
- ↑ Salim, Ali; Hadjizacharia, Pantelis; DuBose, Joseph; Kobayashi, Leslie; Inaba, Kenji; Chan, Linda S.; Margulies, Daniel R. (2009). "What is the Significance of Thrombocytosis in Patients With Trauma?". The Journal of Trauma: Injury, Infection, and Critical Care. 66 (5): 1349–1354. doi:10.1097/TA.0b013e318191b8af. ISSN 0022-5282.
- ↑ Frye JL, Thompson DF (February 1993). "Drug-induced thrombocytosis". J Clin Pharm Ther. 18 (1): 45–8. PMID 8473359.
- ↑ Feliu, E.; Cervantes, F.; Blade, J.; Rozman, C. (1980). "Thrombocytosis in Quiescent Chronic Granulocytic Leukaemia after Vincristine and 6-Mercaptopurine Therapy". Acta Haematologica. 64 (4): 224–226. doi:10.1159/000207258. ISSN 0001-5792.
- ↑ Spalding A, Vaitkevicius H, Dill S, MacKenzie S, Schmaier A, Lockette W (February 1998). "Mechanism of epinephrine-induced platelet aggregation". Hypertension. 31 (2): 603–7. PMID 9461228.
- ↑ Neel, Jennifer A.; Snyder, Laura; Grindem, Carol B. (2012). "Thrombocytosis: a retrospective study of 165 dogs". Veterinary Clinical Pathology. 41 (2): 216–222. doi:10.1111/j.1939-165X.2012.00416.x. ISSN 0275-6382.
- ↑ Scharf RE (November 2012). "Drugs that affect platelet function". Semin. Thromb. Hemost. 38 (8): 865–83. doi:10.1055/s-0032-1328881. PMID 23111864.
- ↑ Hitchcock IS, Kaushansky K (April 2014). "Thrombopoietin from beginning to end". Br. J. Haematol. 165 (2): 259–68. doi:10.1111/bjh.12772. PMID 24499199.
- ↑ Teofili, Luciana; Giona, Fiorina; Martini, Maurizio; Torti, Lorenza; Cenci, Tonia; Foà, Robin; Leone, Giuseppe; Larocca, Luigi M. (2010). "Thrombopoietin Receptor Activation, Thrombopoietin Mimetic Drugs, and Hereditary Thrombocytosis: Remarks on Bone Marrow Fibrosis". Journal of Clinical Oncology. 28 (19): e317–e318. doi:10.1200/JCO.2010.29.0387. ISSN 0732-183X.
- ↑ Vlachaki E, Kalogeridis A, Neokleous N, Perifanis V, Klonizakis F, Ioannidou E, Klonizakis I (May 2012). "Absence of JAK2V617F mutation in patients with beta-thalassemia major and thrombocytosis due to splenectomy". Mol. Biol. Rep. 39 (5): 6101–5. doi:10.1007/s11033-011-1425-7. PMID 22203487.
- ↑ Randi ML, Rossi C, Fabris F, Zerbinati P, Girolami A (December 1995). "Atopic dermatitis and allergic diseases with thrombocytosis: a possible link". Ann. Allergy Asthma Immunol. 75 (6 Pt 1): 530–2. PMID 8603285.
- ↑ Beck WR, Scariot PP, Gobatto CA (2014). "Primary and secondary thrombocytosis induced by exercise and environmental luminosity". Bratisl Lek Listy. 115 (10): 607–10. PMID 25573725.
- ↑ Patel KJ, Hughes CG, Parapia LA (January 1987). "Pseudoleucocytosis and pseudothrombocytosis due to cryoglobulinaemia". J. Clin. Pathol. 40 (1): 120–1. PMC 1140844. PMID 3818970.
- ↑ Akinci, Sema; Hacibekiroglu, Tuba; Basturk, Abdulkadir; Bakanay, Sule Mine; Guney, Tekin; Dilek, Imdat (2013). "Pseudothrombocytosis due to Microerythrocytosis: A Case of Beta Thalassemia Minor Complicated with Iron Deficiency Anemia". Acta Haematologica. 130 (2): 61–63. doi:10.1159/000346434. ISSN 1421-9662.