Extreme thrombocytosis--an unusual presentation of inflammatory bowel disease.
Thrombocytosis or a high platelet count (a count greater than 400 x 10(9)/L) is a common observation especially with the increased ordering of routine complete blood counts. When found, it may create a diagnostic challenge as transient elevations in platelet counts can occur for a number of reasons such as inflammation or infection, and these usually resolve spontaneously; but an elevated platelet count may be the only indication of an underlying serious disease to which no other clinical findings pertain. The report details a case of extreme thrombocytosis which masked an underlying diagnosis of inflammatory bowel disease.
Thachil
Jecko
J
Royal Liverpool University Hospital, Liverpool, United Kingdom. jeckothachil@yahoo.co.uk
D000328:Adult; D000894:Anti-Inflammatory Agents, Non-Steroidal / Q000627:therapeutic use; D004359:Drug Therapy, Combination; D005260:Female; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000150:complications* / Q000188:drug therapy; D019804:Mesalamine / Q000627:therapeutic use; D013256:Steroids / Q000627:therapeutic use; D013922:Thrombocytosis / Q000188:drug therapy / Q000209:etiology*
D000894:Anti-Inflammatory Agents, Non-Steroidal; D013256:Steroids; D019804:Mesalamine