Thrombocytopenia is a low platelet count below 150 × 10 9 /L. The causes of a low platelet count can be grouped according to reduced production, decreased survival or sequestration in the spleen.

Causes

Reduced production

  • Aplastic anaemia

  • Drugs, e.g. tolbutamide, alcohol, cytotoxic agents

  • Viral infections, e.g. EBV, CMV

  • Myelodysplasia

  • Bone marrow infiltration, e.g. carcinoma, leukaemia, myeloma, myelofibrosis

  • Megaloblastic anaemia

  • Hereditary thrombocytopenia

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