Platelets are too high: What can be done to find root cause?

Posted by pattycake11 @pattycake11, Apr 19 1:26pm

My platelets are to high and I have had 2 bone marrow biopsy and they were negative. On medication but not a lot of success. Glad it is not cancer but would really like to know what is causing this issue. I go for blood work at least once a month sometimes twice. I know this can cause blood clots or stroke. Any help would be appreciated.

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@pattycake11

My results were not that quickly. My other blood test have been pretty much ok. Right now I am on 3 a week and platelets are not budging very much. I have had 2 bone marrow biopsies and didn’t show anything. It has been frustrating not having a definitive cause of my high platelets.

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Maybe asked already, were you tested for the JAK2 mutation (or others)? This would typically be a blood test (not the BMB). I am not sure I saw that addressed in the string.

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@laurasugargrove

Maybe asked already, were you tested for the JAK2 mutation (or others)? This would typically be a blood test (not the BMB). I am not sure I saw that addressed in the string.

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I am not sure. When I first went to the hematologist they drew 14 vials of blood. I go back in august I am going to ask my doctor if this was tested for I am sure they did. I think I remember reading about this un some of the result.

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@pattycake11

I am not sure. When I first went to the hematologist they drew 14 vials of blood. I go back in august I am going to ask my doctor if this was tested for I am sure they did. I think I remember reading about this un some of the result.

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I definitely would ask about this - and ask for this testing if not done. For me, it was the JAK2 plus blood counts that resulted in my initial ET diagnosis. I did have a BMB as well, but as my MD explained to me, this was to ensure I had ET and that I didn't have fibrosis that would mean MF (another type of MPN).

PS - 14 vials of blood! Wow! I have never had anywhere near that many. Usually just 1-2.

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@docoltun

Has anyone suggested Anagrelide? I'm not a doctor tho that's what was suggested for me over 20 years ago and still working, no side effects. Check with your oncology hematologist if that might be a solution for you. When I started, it was a new drug under the name Agrylin....it's generic now.

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I've been on anagram ice for 40 years with no problems until this year & now I've advanced to my login risks so I don't know what I'll be taking & I have an enlarged spleen!

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I've been on anagrelide for 40 years with out a problem till this year & now have mylofibrosis & an enlarged spleen! I don't know what I'll be taking now! Going to Mass. General hospital Thursday to talk to a doctor that is experienced in my disease.

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@vas73

I've been on anagrelide for 40 years with out a problem till this year & now have mylofibrosis & an enlarged spleen! I don't know what I'll be taking now! Going to Mass. General hospital Thursday to talk to a doctor that is experienced in my disease.

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Please keep us informed.

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I saw the following comment and it may help you understand this condition further :
"
Thrombocythemia and thrombocytosis are conditions that occur when your blood has a higher-than-normal platelet count. Platelets are tiny blood cells. They are made in your bone marrow along with other kinds of blood cells. Platelets are also called thrombocytes, because a blood clot is also called a thrombus.

Thrombocythemia refers to a high platelet count that is not caused by another health condition. This condition is sometimes called primary or essential thrombocythemia.
Thrombocytosis refers to a high platelet count caused by another disease or condition. This condition is often called secondary or reactive thrombocytosis. Thrombocytosis is more common than thrombocythemia.

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@bosmac

I saw the following comment and it may help you understand this condition further :
"
Thrombocythemia and thrombocytosis are conditions that occur when your blood has a higher-than-normal platelet count. Platelets are tiny blood cells. They are made in your bone marrow along with other kinds of blood cells. Platelets are also called thrombocytes, because a blood clot is also called a thrombus.

Thrombocythemia refers to a high platelet count that is not caused by another health condition. This condition is sometimes called primary or essential thrombocythemia.
Thrombocytosis refers to a high platelet count caused by another disease or condition. This condition is often called secondary or reactive thrombocytosis. Thrombocytosis is more common than thrombocythemia.

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@bosmac

I saw the following comment and it may help you understand this condition further :
"
Thrombocythemia and thrombocytosis are conditions that occur when your blood has a higher-than-normal platelet count. Platelets are tiny blood cells. They are made in your bone marrow along with other kinds of blood cells. Platelets are also called thrombocytes, because a blood clot is also called a thrombus.

Thrombocythemia refers to a high platelet count that is not caused by another health condition. This condition is sometimes called primary or essential thrombocythemia.
Thrombocytosis refers to a high platelet count caused by another disease or condition. This condition is often called secondary or reactive thrombocytosis. Thrombocytosis is more common than thrombocythemia.

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Thank you this is helpful info

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@sregiani

Try an online search for the MPN Research Foundation. Lots of good info. Hopefully you have a heme doc who is familiar with, and perhaps belongs to, this group. You can sign up for their newsletter and learn more. Best wishes!

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I have an hematologist since 2019. I have read everything I can get my hands on regarding high platelets. But thanks for the info

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