As I see the patient, I am really baffled by what I see on physical examination. He is normal but his laboratory result of platelet is way way below normal. He went down as low as 16 ( normal:120) which oftentimes show rashes and bleeding from the nose and mouth. He does not have all these symptoms. If not for the laboratory result, he could pass as normal. I referred him to a HEMATOLOGIST whose specialty is blood diseases ( blood dyscrasia in medical parlance). She too does not have the answer. Peripheral result showed what we see, low platelet count but the cause, we still do not know. It is not DENGUE. I am waiting what the HEMATOLOGIST wold suggest next. TO BE CONTINUED.
Always enjoy reading these anonymous cases, and your viewpoint.
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