Our pregnant patient with thrombocytosis has ferritin checked which is low at 17ug/l. Her CRP was also checked and it was <5ug/l. She is prescribed oral iron replacement – ferrous sulphate 300mg TDS and a FBC post iron replacement shows:
- Hb 115g/L (105-165)
- MCV 84fL (82-98fL)
- WCC 11×10*9/L (4-11)
- Neutrophils 8.5×10*9/L (1.5-7.5)
- Platelets 500×10*9/L (150-450)
- Ferritin 40ug/L
- The platelet count is still rasied – what is your next line of investigation?
- What may you look for on examination of the patient?
- What features on the blood film would you like to exclude?
Please reply to us (@TeamHaem) on Twitter and always include #TeamHaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to evolve over the coming week so keep checking #TeamHaem on Twitter for more information.
Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.
TeamHaem are not a position of authority. It is an educational platform to allow discussion and learning.