Overview
Mechanism-oriented platelet count disorder framing for laboratory pattern recognition.
Classification
| Pattern | Mechanism examples | Laboratory clues (not exclusive) |
|---|---|---|
| Thrombocytopenia, production | Marrow failure, TPO deficiency, chemotherapy | Low MPV/IPF; marrow hypocellular on biopsy when performed |
| Thrombocytopenia, destruction | ITP, DIC, TTP/HUS among others | High MPV; schistocytes if MAHA; directed reflex tests per protocol |
| Thrombocytopenia, sequestration | Hypersplenism | Other cytopenias possible; imaging clinical |
| Thrombocytopenia, dilution | Massive transfusion/fluid res | Contextual; other parameters affected |
| Thrombocytopenia, artifact | EDTA pseudothrombocytopenia | Clumps on smear; citrate repeat normal |
| Thrombocytosis, reactive | Inflammation, iron deficiency, post-splenectomy | Normal platelet morphology; inflammatory markers |
| Thrombocytosis, clonal | MPN among associations | Persistent isolated elevation; basophilia/giant platelets may prompt referral |
Morphologic Features
Smear comments describe, do not diagnose disease from morphology alone.
Laboratory Characteristics
- Use report intervals only for thrombocytopenia/thrombocytosis labels
Reference Intervals
Critical thresholds, institution-specific per GP47-aligned policy.
Clinical and Laboratory Significance
Patterns suggest mechanism branches, confirmatory testing clinician-directed.
Differential Considerations
Multiple etiologies per pattern, hedged language required.
Comparison Tables
Classification Frameworks
Laboratory Notes
- Screening NOT definitive diagnosis.
References
Authoritative textbooks, guidelines, and reviews supporting this reference entry. Verify reference intervals, critical limits, and reflex criteria against institutional protocols and current guideline editions.
Textbooks
- McPherson RA, Pincus MR. Henry's Clinical Diagnosis and Management by Laboratory Methods. 24th ed. Elsevier; 2021.
- Rodak BF, Carr JH. Rodak's Hematology: Clinical Principles and Applications. 6th ed. Elsevier; 2020.
- McKenzie SB, Williams JL. Clinical Laboratory Hematology. 4th ed. Pearson; 2022.
- Bain BJ. Blood Cells: A Practical Guide. 5th ed. Wiley-Blackwell; 2015.
CLSI and Professional Guidelines
- Clinical and Laboratory Standards Institute. Reference and Selected Performance Standards for the Automated Complete Blood Cell Count (CBC). CLSI document H26-A2. CLSI; 2010.
- Clinical and Laboratory Standards Institute. Defining, Establishing, and Verifying Reference Intervals in the Clinical Laboratory; Approved Standard. CLSI document EP28-A3c. CLSI; 2010.
- Clinical and Laboratory Standards Institute. Management of Critical- and Significant-Risk Results. CLSI guideline GP47-Ed1. CLSI; 2015.
- Clinical and Laboratory Standards Institute. Collection, Transport, and Processing of Blood Specimens for Testing Plasma-Based Coagulation Assays and Molecular Hemostasis Assays; Approved Guideline. CLSI document H21-A5. CLSI; 2017.
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