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Secondary thrombocytosis

A J Vora1, J S Lilleyman

  • 1Department of Paediatrics, University of Sheffield.

Archives of Disease in Childhood
|January 1, 1993
PubMed
Summary
This summary is machine-generated.

Secondary thrombocytosis, a high platelet count, is common in young infants, often following infection. This condition typically requires no treatment beyond addressing the underlying cause.

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Area of Science:

  • Pediatric Hematology
  • Clinical Pathology

Background:

  • Secondary thrombocytosis, defined as elevated platelet counts (> 800 x 10(9)/l), is a recognized clinical finding.
  • Understanding its incidence and etiology in pediatric populations is crucial for appropriate patient management.

Purpose of the Study:

  • To determine the incidence and common causes of secondary thrombocytosis in children.
  • To analyze data from a prospective study alongside previous research for a comprehensive overview.

Main Methods:

  • A 12-month observational study of pediatric patients with platelet counts exceeding twice the upper normal limit.
  • Analysis of data from 36 new cases, combined with data from two prior studies, totaling 139 children.

Main Results:

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  • The incidence of secondary thrombocytosis was 0.5% (36/7916 children), with a median age of 13 months.
  • Infections were the most frequent cause (53%), followed by tissue damage (20%) and malignancy (11%).
  • Other causes included chemotherapy recovery, post-operative states, and iron deficiency.
  • Conclusions:

    • Secondary thrombocytosis is not rare in children, particularly in young infants post-infection.
    • It can also result from various conditions like myelosuppression rebound, iron deficiency, or acute phase response.
    • The condition is generally clinically insignificant and does not require specific treatment.