High platelet count

Posted by carlsonte @carlsonte, Wed, Feb 27 12:35pm

My son, who is 46, has an elevated platelet count of 700,000 to 870,000. It has went on for over four years and is only being monitored. Is there more testing other than blood tests that can be done? What are the concerns a person should have with this elevated count?

@carlavan

Hi, I was recently diagnosed with Essential Thrombocytoss (ET) and Jak2 mutation, after elevated platelets over a period of a year. This through extensive blood testing. I have been on Hydrea 3 times a week at 500mg each and daily 81mg aspirin. I don't feel any different before or after diagnosis and have to look at it as a positive not a negative. I will die with the disease not from it! I strongly advise your son to seek another opinion so that he could benefit from medication to lower the platelets. Well wishes to him!

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Thank you for encouraging news. Will pass this along to him.

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@patrickbernath

At that count I started taking aspirin, and check up for blood test platelets count and that was it. Hope this helps.

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Thank you. Looks very similar to my sons situation.

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@carlavan

Hi, I was recently diagnosed with Essential Thrombocytoss (ET) and Jak2 mutation, after elevated platelets over a period of a year. This through extensive blood testing. I have been on Hydrea 3 times a week at 500mg each and daily 81mg aspirin. I don't feel any different before or after diagnosis and have to look at it as a positive not a negative. I will die with the disease not from it! I strongly advise your son to seek another opinion so that he could benefit from medication to lower the platelets. Well wishes to him!

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Recently my son tore a calf muscle exercising. He asked his doctor if his recent increase from 750,000 to 870,000 could be result of healing process. His doctor said very possible. That was somewhat of a relief. Hopefully his next blood tests in July will indicate same.

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I was diagnosed with Essential Thrombocytopemia at the VA Hospital based on a platelet count of 847,000 and a positive JAK2. The VA said I didn't need s bone marrow until my platelet count was about 1.2 million. I didn't believe a word of that so I went to Sloan Cancer Center and had a bone marrow aspiration and biopsy along with a molecular panel that looks at 400 gene. My final diagnosis is MDS/MPN overlap with Thrombocytosis. Also JAK2 and SRSF2 positive. On Hydroxyurea for 4 months and my platelet count is now 243,000. I suggest you consider the molecular panel. Good luck.

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A high platelet count suggests Essential Thrombocythemia, but you need to confirm if that is the real diagnosis or if something else is going on. The only way to confirm his diagnosis is to see a Hematologist and have a bone marrow aspiration and biopsy done along with a molecular panel. The molecular panel will provide clear evidence of any gene mutations. Only when you have a final diagnosis can you properly treat a disease. Good luck.

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Thank you for info. My son does have a hematologist and has been checked for Jak2. He doesn’t have that. He has no other symptoms other than a high Platelet count of 770,000. His spleen is good and iron good. His hematologist checks on a quarterly basis blood work. Other than a 81 mg aspirin, no other treatment. Hopefully hematologist knows what they are doing?!!

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What is the diagnosis for a platelet count in 770,000 range and no Jak2 mutation? Is there a treatment other than monitor? Been going on for several years.

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@carlsonte

What is the diagnosis for a platelet count in 770,000 range and no Jak2 mutation? Is there a treatment other than monitor? Been going on for several years.

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@carlsonte, I moved your new discussion titled "high platelet count" and combined it with your older discussion of the same title. I did this so the members who had responded to your previous posts would see your newest post and have a chance to respond again. Unfortunately, members cannot diagnose, but offer their experiences. @carlsnote, have you met with a hematologist to discuss what the platelet counts are and what possible treatments would be? If you are comfortable sharing, are you experiencing any symptoms?

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Yes to hematologist. Take aspirin and monitor every six months. Latest blood test went from 770,000 to 670,000. Encouraging, but not knowing what it is can be uncomfortable. Told to watch for headaches, one leg larger than another, and vision blurry. No obvious symptoms.

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@carlsonte

Yes to hematologist. Take aspirin and monitor every six months. Latest blood test went from 770,000 to 670,000. Encouraging, but not knowing what it is can be uncomfortable. Told to watch for headaches, one leg larger than another, and vision blurry. No obvious symptoms.

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Have you had a bone marrow aspiration, bone marrow biopsy and a molecule panel to determine what is really going on? Absent these tests you'll never know what is causing your high platelet count.

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@carlsonte

Hi, my son also takes 81 mg aspirin and nothing else. I just hope his platelets don’t keep increasing from current 870,000. I agree not having to take Hu is a good thing. I have no idea what possible side affects it would have. I’m not sure at what level a person would have to take Hu? We’ll continue to wait and see. Good luck to you also.

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I had a platelet count of 847,000 a d was told I had ET and was told to take a 81mg tablet. I thought this Hemotologist is an idiot and went to Sloan. They performed a bone marrow aspiration and biopsy along with a molecular panel. The results indicated JAK2 and SRSF2 gene mutations. The final diagnosis is MDS/MPN overlap with Thrombocytosis and MF. The 81mg aspirin doesn't work in my humble opinion. Get the tests done by a cancer center.

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@mjpm2406

Have you had a bone marrow aspiration, bone marrow biopsy and a molecule panel to determine what is really going on? Absent these tests you'll never know what is causing your high platelet count.

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None of those tests have been ordered or discussed.

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@mjpm2406

I had a platelet count of 847,000 a d was told I had ET and was told to take a 81mg tablet. I thought this Hemotologist is an idiot and went to Sloan. They performed a bone marrow aspiration and biopsy along with a molecular panel. The results indicated JAK2 and SRSF2 gene mutations. The final diagnosis is MDS/MPN overlap with Thrombocytosis and MF. The 81mg aspirin doesn't work in my humble opinion. Get the tests done by a cancer center.

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Thank you.

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@carlsonte

Thank you.

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Your welcome. As a researcher all my life I know that a diagnosis of blood cancer or any major illness should be based on science, not the opinion of a doctor. If the doctor doesn't order the tests that can conclusively identify mutated genes than the patient never gets an accurate diagnosis that is grounded in science. Ask your Hemotologist to order the bone marrow aspiration and biopsy and a molecular panel. Knowledge is key in any diagnosis. Good luck.

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We are also at risk for bleeds because our platelets are many but they are also low quality. Blood clotting factors test and von willerbrand test good to get as well.

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