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question on bone marrow results.

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14 years 6 months ago #13581 by shen08
question on bone marrow results. was created by shen08
Just got results in post as I requested a copy of what was being sent to my gp. it says on one letter reactive bone marrow changes with numerous megakryocytes. Google doesnt seem to stretch this far. as I would have just assumed that as the doc told me the bone marrow results point at ITP that the results being sent to gp would just state normal as the result. followed by throwing a splenectomy up in the air if counts were still low after the year mark.
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14 years 6 months ago #13590 by eklein
Replied by eklein on topic Re: question on bone marrow results.
I love your statement 'google doesn't stretch this far'.

I'm sorry I don't know the answer to your questions.
Erica
And she was!
Diagnosed May 2005, lowest count 8K.
4/22/08: 43K (2nd Rituxan)
10/01/09: 246K, 1/8/10: 111K, 5/21/10: 233K
Latest count: 7/27/2015: 194K
14 years 6 months ago #13591 by
Replied by on topic Re: question on bone marrow results.
Megakryocytes are immature platelet cells. Having "numerous" means they were able to see your bone marrow is clearly producing platelets (as opposed to producing none or very little) based on numerous immature platelets being present. This is a common comment when the decision is made that ITP is the issue. There have been many dicussions on this board about ITP being a disease of both destruction and low/lack of production. But for you, at this point, they're just saying your bone marrow is producing platelets. Numerous can mean anything from enough to some so your doctor will have to ask the lab doc what he actually saw otherwise. What this statement doesn't address is if those megakryocytes are actually maturing into usable platelets. They should see them in all phases of development so if they didn't I think they would have stated so.
  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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14 years 6 months ago #13592 by Sandi
Replied by Sandi on topic Re: question on bone marrow results.
Read this - it's actually right above your post:

www.pdsa.org/forum/6-general-itp-discussion/11698-bone-marrow-biopsy-and-production-answers.html
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14 years 6 months ago #13602 by shen08
Replied by shen08 on topic Re: question on bone marrow results.
sorry Sandi yea I had read it, it was the result of reactive changes. Was at gp today she said it was to do with inflammation so just tryin to see what that might mean outside of infection.
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