An unusual case of extreme thrombocytosis caused by iron deficiency

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An unusual case of extreme thrombocytosis caused by iron deficiency. / Bergmann, Kristin; Bergmann, Olav J.

In: BMJ Case Reports, Vol. 13, No. 1, e231833, 01.2020.

Research output: Contribution to journal/Conference contribution in journal/Contribution to newspaper › Journal article › Research › peer-review

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Bergmann, Kristin ; Bergmann, Olav J. / An unusual case of extreme thrombocytosis caused by iron deficiency. In: BMJ Case Reports. 2020 ; Vol. 13, No. 1.

Bibtex

@article{15c0f5ee0304436981a14a4ea0a82813,

title = "An unusual case of extreme thrombocytosis caused by iron deficiency",

abstract = "Iron deficiency is a common cause of reactive thrombocytosis resulting in usually mild to moderately increased but sometimes even in extreme thrombocytosis (ie, >1000×10 9 /L). We report a case of a 34-year-old woman who developed an increased platelet count of 1953×10 9 /L. Upon admission, cytoreductive therapy was initiated until an underlying chronic myeloproliferative neoplasia was ruled out. The patient had undergone bariatric surgery 5 years previously, and surprisingly, a diagnosis of reactive thrombocytosis due to iron deficiency secondary to iron malabsorption was made. It is concluded that the degree of extreme thrombocytosis may be even fourfold to fivefold increased in patients with severe iron deficiency. Our finding emphasises the importance of regular control of possible need for iron supplementation following bariatric surgery.",

keywords = "haematology (incl blood transfusion), nutritional support",

author = "Kristin Bergmann and Bergmann, {Olav J.}",

year = "2020",

month = jan,

doi = "10.1136/bcr-2019-231833",

language = "English",

volume = "13",

journal = "B M J Case Reports",

issn = "1757-790X",

publisher = "BMJ Publishing Group",

number = "1",

}

RIS

TY - JOUR

T1 - An unusual case of extreme thrombocytosis caused by iron deficiency

AU - Bergmann, Kristin

AU - Bergmann, Olav J.

PY - 2020/1

Y1 - 2020/1

N2 - Iron deficiency is a common cause of reactive thrombocytosis resulting in usually mild to moderately increased but sometimes even in extreme thrombocytosis (ie, >1000×10 9 /L). We report a case of a 34-year-old woman who developed an increased platelet count of 1953×10 9 /L. Upon admission, cytoreductive therapy was initiated until an underlying chronic myeloproliferative neoplasia was ruled out. The patient had undergone bariatric surgery 5 years previously, and surprisingly, a diagnosis of reactive thrombocytosis due to iron deficiency secondary to iron malabsorption was made. It is concluded that the degree of extreme thrombocytosis may be even fourfold to fivefold increased in patients with severe iron deficiency. Our finding emphasises the importance of regular control of possible need for iron supplementation following bariatric surgery.

AB - Iron deficiency is a common cause of reactive thrombocytosis resulting in usually mild to moderately increased but sometimes even in extreme thrombocytosis (ie, >1000×10 9 /L). We report a case of a 34-year-old woman who developed an increased platelet count of 1953×10 9 /L. Upon admission, cytoreductive therapy was initiated until an underlying chronic myeloproliferative neoplasia was ruled out. The patient had undergone bariatric surgery 5 years previously, and surprisingly, a diagnosis of reactive thrombocytosis due to iron deficiency secondary to iron malabsorption was made. It is concluded that the degree of extreme thrombocytosis may be even fourfold to fivefold increased in patients with severe iron deficiency. Our finding emphasises the importance of regular control of possible need for iron supplementation following bariatric surgery.

KW - haematology (incl blood transfusion)

KW - nutritional support

UR - http://www.scopus.com/inward/record.url?scp=85077679680&partnerID=8YFLogxK

U2 - 10.1136/bcr-2019-231833

DO - 10.1136/bcr-2019-231833

M3 - Journal article

C2 - 31919059

AN - SCOPUS:85077679680

VL - 13

JO - B M J Case Reports

JF - B M J Case Reports

SN - 1757-790X

IS - 1

M1 - e231833

ER -