Low Platelets: Diagnosis to be confirmed

Posted by rockitman @rockitman, Oct 14, 2022

I have a platelet count of 17 as of Oct 10th 2022. I lose about 800-1000 platelets a day. 5000 - 7000 a week between CBC.
My Dr has me on Promacta 50mg a day(4 weeks), Prednisone 80mg a day, 40mg morning, 40mg night (6 weeks), No help at this point.
Started Rituxan last Tuesday morning Oct 10th 6 hr treatment.
Three more 6hr treatments one week apart every Tuesday morning.
Has anyone had good results with Rituxan?
My Dr has changed my Diagnosis 5 times in as many weeks.
My bone marrow biopsy/asperation lists two possibilities, aplastic Anemia and Megakaryocytic Hypoplasia. He is currently dianosing me with Megakaryocytic Hypoplasia??????
At this point I'm not sure what I have?
I did contact Mayo Clinic and have gotten an Appointment next Wednesday, thank you Mayo.
Does anyone know how long it takes for the Rituxan to work if will even work at all. My Dr said 54 days? I don't have 54 days of platelets left at the platelet loss I'm experiencing now. Getting down to the critical stage, No bleeding yet that I can tell internally but bruising very easily.

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Profile picture for renee12345 @renee12345

My whole life I’ve had normal platelets til now. Found out they are 130,000. My md wants to wait 6-8 weeks to retest. This seems like a long time . I also have lupus anticoagulant aka antiphospholipid antibody; but no new symptoms re low platelets. Been on coumadin 35 years.
Anyone have similar problem with low platelet count and follow up?
Thank you in advance.

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Hi renee12345

I went from normal platelets and high monocytes to low platelets in a couple of years. Had a bone marrow biopsy but at the time they were clueless. My research always pointed to lupus or leukemia. Last year a lot of things changed and went low platelets.
When they dropped to 64 I had a second bone marrow biopsy. With better technologies or better doctors ( no slam there ) I was diagnostic with MDS. I am on a wait and watch with blood work now at every 3 months. There’s a lot of good info here and great people to help you. Keep us informed.

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Now i read about everyone else’s platelet problems-
Guess my worries are not very significant in comparison. My apologies to all.💙

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Thank you
No new meds, no new symptoms. Nothing has been ruled in or out. Not sure why my md wants to wait so long before she retests me. Very anxious about this. Lots of stress this past year w my mothers illness.

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Profile picture for renee12345 @renee12345

My whole life I’ve had normal platelets til now. Found out they are 130,000. My md wants to wait 6-8 weeks to retest. This seems like a long time . I also have lupus anticoagulant aka antiphospholipid antibody; but no new symptoms re low platelets. Been on coumadin 35 years.
Anyone have similar problem with low platelet count and follow up?
Thank you in advance.

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Welcome @renee12345.
You might also be interested in this related discussion:
– What can I expect with Antiphospholipid Syndrome (APS) https://connect.mayoclinic.org/discussion/aps/

Renee, it sounds like you're not taking any new medications. Have you experienced any recent illnesses or other change that might help explain the cause? What has been ruled out?

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My whole life I’ve had normal platelets til now. Found out they are 130,000. My md wants to wait 6-8 weeks to retest. This seems like a long time . I also have lupus anticoagulant aka antiphospholipid antibody; but no new symptoms re low platelets. Been on coumadin 35 years.
Anyone have similar problem with low platelet count and follow up?
Thank you in advance.

REPLY
Profile picture for rockitman @rockitman

I got my bone marrow aspiration & bone biopsy Nov 1st. I just got back the results Nov 23rd. The results came back Negative. So, I still have no diagnosis after two bone marrow biopsies and numerous blood tests.
So far, no markers for cancer and negative for MDS etc.
I have low platelets, low white and red blood cell counts (2.0) and between 7.2 and 8.1 for Hemoglobin.
At 7.2 (Hemoglobin) I had to have a Blood transfusion due to difficulty breathing. I get weekly platelet transfusions.
My Mayo Dr is starting with additional blood tests next week and another Bone marrow biopsy.
Still a mystery to me and the Dr's.
This all started after getting the COVID VACCINE and Booster shot. Coincidence???

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Hi @rockitman Well, I guess some good news is that your results are negative for any cancers and MDS but, you certainly remain a mystery man. That’s really frustrating for you and your doctors, and of course, at this point there’s no way to know if the vaccine was involved or not. There are certainly people who have had reactions they feel are correlated with the vaccine but it’s difficult to prove because there are others with similar maladies which developed prior to Covid.
It’s reassuring that your doctor at Mayo continues to delve deeper into finding an answer for you. Keep me posted, ok?

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I got my bone marrow aspiration & bone biopsy Nov 1st. I just got back the results Nov 23rd. The results came back Negative. So, I still have no diagnosis after two bone marrow biopsies and numerous blood tests.
So far, no markers for cancer and negative for MDS etc.
I have low platelets, low white and red blood cell counts (2.0) and between 7.2 and 8.1 for Hemoglobin.
At 7.2 (Hemoglobin) I had to have a Blood transfusion due to difficulty breathing. I get weekly platelet transfusions.
My Mayo Dr is starting with additional blood tests next week and another Bone marrow biopsy.
Still a mystery to me and the Dr's.
This all started after getting the COVID VACCINE and Booster shot. Coincidence???

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Profile picture for newmoonsabbath-Mary @newmoonsabbath

Hi Colleen I have been getting injections for over a year now and I saw the oncologist on the 15th. Tomorrow I go in for blood work and an injection but I really don't expect any big changes although I am hoping to have a better platelet level fingers crossed

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Hopefully they go up I’m new here an mine are 39.000 wen do they start treating low platelets also rbc wbc are also little low

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Profile picture for Colleen Young, Connect Director @colleenyoung

Hi Mary, that does sound frustrating. I'm sure this frustration sounds familiar to fellow members like @rockitman @hlmcneely @elenarey77 @lulujuice @emcdanie2006.

How long have you been doing the weekly injections? Have you been to see the oncologist since your last reading on Nov 15?

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Hi Colleen I have been getting injections for over a year now and I saw the oncologist on the 15th. Tomorrow I go in for blood work and an injection but I really don't expect any big changes although I am hoping to have a better platelet level fingers crossed

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Profile picture for newmoonsabbath-Mary @newmoonsabbath

I have been dealing with a low platelet cont for the past two years my doctor tells me that they don't know what the cause of my ITP is. Started out with infusions and moved to promacta when that didn't work I started receiving weekly injection shots. As of November 15 my platelet count was at 8000 and fluctuates every time I see my oncologist. This is very frustrating not knowing what in the world is going on with my body.

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Hi Mary, that does sound frustrating. I'm sure this frustration sounds familiar to fellow members like @rockitman @hlmcneely @elenarey77 @lulujuice @emcdanie2006.

How long have you been doing the weekly injections? Have you been to see the oncologist since your last reading on Nov 15?

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