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Metatarsalgia caused by an increase in circulating platelets: a case report.
Foot & Ankle
|January 1, 1984
Summary
Elevated platelet counts from essential thrombocythemia can cause foot pain (metatarsalgia). Chemotherapy reduced platelet levels, resolving the pain, suggesting platelet count screening for unclear metatarsalgia cases.
Area of Science:
- Hematology
- Orthopedics
- Oncology
Background:
- Metatarsalgia, or foot pain, can have various underlying causes.
- Essential thrombocythemia is a myeloproliferative neoplasm characterized by elevated platelet counts.
Observation:
- A patient presented with a year-long history of metatarsalgia.
- The patient was diagnosed with essential thrombocythemia, leading to an elevated platelet count.
Findings:
- Treatment with chemotherapy resulted in a reduction of the patient's platelet count.
- The reduction in platelet count led to the complete resolution of the patient's foot pain.
Implications:
- This case suggests a potential link between elevated platelet counts and metatarsalgia.
- Authors recommend incorporating platelet count assessment in the diagnostic work-up for patients with unexplained metatarsalgia.
- Further research may elucidate the mechanisms connecting thrombocythemia and foot pain.