Question
Hello doctor. I recently had a health check at the company and received the test results with a platelet count of 465,000, higher than the normal index. So, doctor, can you tell me if the platelet count of 465,000 is a health concern? I hope the doctor can advise me. Thank you, doctor.
Anonymous question
Answer
Hello. The doctor would like to answer your question: "Is a platelet count of 465,000 a health concern?" as follows:
Platelets are the smallest cells in all blood cells with a diameter of approximately . Too low a platelet count can cause bleeding. Too high a platelet count will form blood clots, blocking blood vessels and causing stroke, myocardial infarction, pulmonary embolism, vascular occlusion, etc.
So how dangerous is an increase in platelets? First of all, you need to understand pseudothrombocytosis: In adults, acute infection, tissue damage, chronic inflammation ... are common causes of reactive thrombocytosis. The cause of reactive thrombocytosis in children is similar to that in adults, congenital hemolytic anemia. Some other causes also increase reactive thrombocytosis such as: after surgery, splenectomy, iron deficiency, drugs ...
High platelet count is considered dangerous when this index is > 450 G/L of blood. For your platelet test result is 465 G/L, higher than the normal value (150-450 G/L). With this value, nothing can be concluded about the disease.
You can have regular health check-ups to monitor and distinguish reactive thrombocytosis or true thrombocytosis.
If platelets regularly increase > 600 G/L, you must find the cause of thrombocytosis, and treat when platelets increase > 750-1000 G/L.
Thank you for trusting and sending questions to Vinmec Healthcare System. Best regards!
Answered by Specialist Doctor II Nguyen Thi Tuyet Mai - Hematologist - Blood Transfusion Doctor - Laboratory Department - Vinmec Ha Long International General Hospital
