
Health Dictionary
Reliable, easy-to-read patient information on common medical conditions β written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Thrombocytosis differential diagnosis
Introduction
Overview
Overview
Thrombocytosis Differential Diagnosis
Thrombocytosis Differential Diagnosis
Differentiating the diseases that can cause thrombocytosisΒ :
| Category | Condition | Etiology | Mechanism | Inherited | Acquried | Clinical manifestations | Paraβclinical 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 |
|
Β± |
|
+ | Nl | + | – | ββ | β | β |
|
|
Nl | Nl |
|
Bone marrow biopsy |
| |
| Polycythemia vera[2] |
|
+ | – | – | – | + | Mean age >60 years old |
|
– |
|
Β± | Nl | + | – | β | ββ | β |
|
|
β | β |
|
Bone marrow biopsy |
| |||
| Primary myelofibrosis[3] |
|
+ | – | – | – | + | Mean age >60 years old, male> female |
|
– | + | Nl | + | + |
|
β/β | β | β |
|
|
β | β | Bone marrow biopsy |
| ||||
| Chronic myeloid leukemia[4] |
|
+ | – | – | – | + | Mean age >50 years old, male> female | History of exposure to: | + | + | Nl | + | – |
|
β | β | β |
|
|
β | β |
|
Bone marrow biopsy |
| |||
| Acute myeloid leukemia[5] |
|
+ | – | – | – | + | Median age of 63 years old |
|
+ | + | Nl | + | + |
|
β/β | β | β/β |
|
β | β | NA | Bone marrow examination + clinical manifestation |
| ||||
| Myelodysplastic syndromes[6] |
|
+ | – | – | Β± | + | Elderly | Exposure to: | Β± | + | Nl | + | + | β/β | β | β |
|
|
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 | – | – | – | β | Nl | Nl |
|
|
Nl | Nl | NA | Genetic study |
| ||
| Reactive thrombocytosis | Anemia/ |
|
+ | – | – | – | + | Any |
|
– | + | Nl to β | – | – | Depends on the etilogy | β | β | Nl |
|
|
Nl | Nl | NA | Clinical manifestation |
| ||
| Infection | Chronic infections |
|
+ | + | – | – | + | Any |
|
+ | Β± | Nl to β | – | Β± | Depends on the etilogy | β | β | β |
|
|
Nl | Nl |
|
Culture | Depends on the etilogy | ||
| Tuberculosis |
|
+ | + | – | – | + | Any |
|
+ |
|
– | Nl | – | – | β | Nl | β |
|
|
Nl | Nl |
|
Clinical manifestation+ culture | ||||
| Acute bacterial and viral infections |
|
+ | + | – | – | + | Any |
|
+ |
|
– | Nl | – | – | Depends on the etilogy | β | β |
|
|
Nl | Nl |
|
Clinical manifestation+ culture |
| |||
| Inflammation | Vasculitides[10] |
|
+ | + | – | Β± | + | Any |
|
+ |
|
+ | Nl | – | – | β | Nl to β | β |
|
|
Nl to β | Nl to β |
|
Clinical manifestation+ culture |
| ||
| Acute pancreatitis |
|
+ | + | – | – | + | Any | + |
|
– | Nl to β | – | + | β | Nl to β | β |
|
|
Nl to β | Nl to β |
|
Clinical manifestation |
| ||||
| Malignancy[11] |
|
+ | + | – | Β± | Β± | Any |
|
+ |
|
– | Nl to β | Depends on the type | – |
|
β | Nl to β | β |
|
|
Nl to β | Nl to β |
|
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 |
|
+ |
|
Β± | Nl to β | – | Β± | β | Nl to β | β |
|
|
Nl to β | Nl to β |
|
Clinical manifestation | |||
| Trauma[13] |
|
– | + | – | – | + | Any |
|
Β± |
|
Β± | Nl to β | – | – | β | Nl to β | β |
|
|
Nl | Nl |
|
Clinical manifestation |
| |||
| Myocardial infarction[14] |
|
– | + | – | – | + | Elderly | Β± |
|
– | Nl to β | – | – | β | Nl to β | β |
|
|
Nl | Nl |
|
Clinical manifestation + enzymes elevation |
| ||||
| Medication[15] | Vincristine[16] |
|
– | + | – | – | + | Any |
|
– |
|
– | Nl | + | – | β | Nl to β | β |
|
|
Nl to β | Nl to β |
|
Clinical manifestation + history of drug consumption | |||
| Epinephrine[17] |
|
+ | + | – | – | + | Any | – |
|
– | Nl to β | – | – | β | β | β |
|
|
Nl | Nl |
|
Clinical manifestation + history of drug consumption |
| ||||
| Glucocorticoids[18] |
|
+ | + | – | – | + | Any | + |
|
Nl to β | – | – | β | Nl to β | β |
|
|
Nl to β | Nl to β |
|
Clinical manifestation + history of drug consumption |
| |||||
| Antibiotics[19] |
|
+ | + | – | – | + | Any | + | Nl | Β± | Nl | – | – |
|
β | Nl | β |
|
|
Nl | Nl |
|
Clinical manifestation + history of drug consumption |
| |||
| Thrombopoietin[20][21] |
|
+ | – | – | – | + | Any | + |
|
– | Nl to β | – | – |
|
β | β | β |
|
|
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 |
|
Β± |
|
+ | Nl | Asplenia | – | – | β | β | β |
|
|
Nl | Nl | Clinical manifestation |
| ||
| Allergic reactions[23] |
|
+ | + | – | – | + | Any | – |
|
– | Nl to β | – | – | β | β | β |
|
|
Nl | Nl |
|
Clinical manifestation |
| ||||
| Exercise[24] |
|
+ | + | – | – | + | Athlete |
|
– | Normal | – | Nl | – | – | NA | β | β | β |
|
|
Nl | Nl |
|
Clinical manifestation | NA | ||
| Pseudothrombocytosis | Mixed cryoglobulinemia[25] |
|
– | – | – | – | – | Any | – |
|
– | Nl | – | – |
|
β | Nl to β | β |
|
Nl | Nl | Nl | NA | Skin biopsy | |||
| Cytoplasmic fragments[26] |
|
– | – | – | – | – | Any | NA | – | Normal | – | Nl | – | – | NA | β | Nl | Nl |
|
Nl | Nl | Nl | Nl | Repeat | NA | ||
References
References
- β BriΓ¨re, Jean B (2007). Orphanet Journal of Rare Diseases. 2 (1): 3. doi:10.1186/1750-1172-2-3. ISSNΒ 1750-1172. Missing or empty
|title=(help) - β 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): 2391β2405. doi:10.1182/blood-2016-03-643544. ISSNΒ 0006-4971.
- β 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): 25β33. doi:10.1016/j.mayocp.2011.11.001. ISSNΒ 0025-6196.
- β Thompson, Philip A.; Kantarjian, Hagop M.; Cortes, Jorge E. (2015). “Diagnosis and Treatment of Chronic Myeloid Leukemia in 2015”. Mayo Clinic Proceedings. 90 (10): 1440β1454. doi:10.1016/j.mayocp.2015.08.010. ISSNΒ 0025-6196.
- β Rose-Inman, Hayley; Kuehl, Damon (2014). “Acute Leukemia”. Emergency Medicine Clinics of North America. 32 (3): 579β596. doi:10.1016/j.emc.2014.04.004. ISSNΒ 0733-8627.
- β Natelson, Ethan A.; Pyatt, David (2013). “Acquired Myelodysplasia or Myelodysplastic Syndrome: Clearing the Fog”. Advances in Hematology. 2013: 1β11. doi:10.1155/2013/309637. ISSNΒ 1687-9104.
- β 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): 4198β4200. doi:10.1182/blood-2003-10-3471. ISSNΒ 0006-4971.
- β 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): 104β109. doi:10.1046/j.1365-2141.2000.02169.x. ISSNΒ 0007-1048.
- β Kuter, David J. (1996). “The Physiology of Platelet Production”. Stem Cells. 14 (S1): 88β101. doi:10.1002/stem.5530140711. ISSNΒ 1066-5099.
- β Hamblin T, Oscier D (September 1978). “Polyarteritis presenting with thrombocytosis and palliated by plasma exchange”. Postgrad Med J. 54 (635): 615β7. PMCΒ 2425233. PMIDΒ 82963.
- β 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. ISSNΒ 0025-7974.
- β 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. ISSNΒ 2045-2322.
- β 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): 1349β1354. doi:10.1097/TA.0b013e318191b8af. ISSNΒ 0022-5282.
- β Frye JL, Thompson DF (February 1993). “Drug-induced thrombocytosis”. J Clin Pharm Ther. 18 (1): 45β8. PMIDΒ 8473359.
- β 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): 224β226. doi:10.1159/000207258. ISSNΒ 0001-5792.
- β Spalding A, Vaitkevicius H, Dill S, MacKenzie S, Schmaier A, Lockette W (February 1998). “Mechanism of epinephrine-induced platelet aggregation”. Hypertension. 31 (2): 603β7. PMIDΒ 9461228.
- β Neel, Jennifer A.; Snyder, Laura; Grindem, Carol B. (2012). “Thrombocytosis: a retrospective study of 165 dogs”. Veterinary Clinical Pathology. 41 (2): 216β222. doi:10.1111/j.1939-165X.2012.00416.x. ISSNΒ 0275-6382.
- β Scharf RE (November 2012). “Drugs that affect platelet function”. Semin. Thromb. Hemost. 38 (8): 865β83. doi:10.1055/s-0032-1328881. PMIDΒ 23111864.
- β Hitchcock IS, Kaushansky K (April 2014). “Thrombopoietin from beginning to end”. Br. J. Haematol. 165 (2): 259β68. doi:10.1111/bjh.12772. PMIDΒ 24499199.
- β Teofili, Luciana; Giona, Fiorina; Martini, Maurizio; Torti, Lorenza; Cenci, Tonia; FoΓ , 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): e317βe318. doi:10.1200/JCO.2010.29.0387. ISSNΒ 0732-183X.
- β 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): 6101β5. doi:10.1007/s11033-011-1425-7. PMIDΒ 22203487.
- β 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): 530β2. PMIDΒ 8603285.
- β Beck WR, Scariot PP, Gobatto CA (2014). “Primary and secondary thrombocytosis induced by exercise and environmental luminosity”. Bratisl Lek Listy. 115 (10): 607β10. PMIDΒ 25573725.
- β Patel KJ, Hughes CG, Parapia LA (January 1987). “Pseudoleucocytosis and pseudothrombocytosis due to cryoglobulinaemia”. J. Clin. Pathol. 40 (1): 120β1. PMCΒ 1140844. PMIDΒ 3818970.
- β 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): 61β63. doi:10.1159/000346434. ISSNΒ 1421-9662.
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Sadaf Sharfaei M.D.[2]
