Case Report on Thrombocytopenia

Introduction: Thrombocytopenia is an autoimmune condition in which there abnormal low level of platelets. This also called as Thrombopenia. The word derived from English “Thrombocyte” means “Platelet” and Greek “Penia” “Poverty’.
 Clinical Findings: Persistent reddish lesion, generalized weakness.
 Diagnostic Evaluation : Blood test – Hb-11.2 %,RBC -6.06 million /cu mm , Total WBC Count 10400 Platelet -0.25 lacs Monocyte 0.6, Granulocyte 44 % Lymphocyte -48 RDW -15.2 HCT-35.8%,Prothrombin Time -1.02 (12.8), APTT (Patient ) 30.7 RBS -104 mg/dl.
 Peripheral Smear: RBCs-Predominantly normocytic mildly hypochromic with few microcytic RBCs seen. Platelets –Reduced on smear. APC -37000 cells / cu per cell counter no haemoparasit Antinuclear Antibodies (ANA) by Enzyme - linked Immunoassay Lactate Dehydrogenase. Method -0.69 LDH 205 Ultrasonography Grade 1 fatty liver.
 Therapeutic Intervention: 5 unit platelet concentrate transfusion, Inj. Methyl Prednisolone 500 mg × (2 Days), Tab. 30 Autrin Metformin gm Glipizide mg.
 Outcome: After treatment, patient show improvement. His count was improved sugar were normal his increased 0.45 to 0.25 after transfusion.
 Conclusion: My admitted High Dependency Unit. Archya Vinobha Bhave Rural Hospital a case he had complaint persistent weakness. getting appropriate improved.