What does it mean when platelets, neutrophils, and white blood cells are low, and what should be done?

May 30, 2023 Source: Cainiu Health

Dr. Zhang Heyang

Introduction

In general, low levels of platelets, neutrophils, and white blood cells may be caused by conditions such as chronic hypoplastic neutropenia, systemic lupus erythematosus, or aplastic anemia. Patients may require treatment through daily care and taking appropriate medications. Other possible causes include rheumatoid arthritis and Sjögren's syndrome.

In general, low levels of platelets, neutrophils, and white blood cells may be caused by conditions such as chronic hypoplastic neutropenia, systemic lupus erythematosus (SLE), or aplastic anemia. Patients require treatment through daily care and taking appropriate medications. Specific analyses are as follows:

1. Chronic Hypoplastic Neutropenia

This condition is commonly caused by factors such as infections or exposure to physical and chemical substances. It often leads to symptoms including weight loss, low-grade fever, and night sweats. Blood tests may show reduced levels of platelets, neutrophils, and white blood cells. Patients should discontinue any medications causing neutropenia under medical guidance, use antibiotics appropriately, and, when necessary, take medications such as leucogen tablets or vitamin B4 tablets as prescribed.

2. Systemic Lupus Erythematosus (SLE)

SLE is a systemic autoimmune inflammatory connective tissue disease that affects multiple organs. It commonly causes symptoms such as fatigue, kidney damage, and myocardial involvement. As patients may also experience impaired hematopoietic function, blood tests often reveal decreased levels of platelets, neutrophils, and white blood cells. Treatment may include medications such as dexamethasone acetate tablets or ibuprofen sustained-release capsules, taken according to medical advice.

3. Aplastic Anemia

Aplastic anemia is a form of bone marrow failure syndrome that may result from various causes and mechanisms. Due to abnormal hematopoiesis, this condition can also lead to the aforementioned blood abnormalities. Patients are advised to take medications such as etamsylate tablets or cyclosporine soft capsules as directed by their physicians.

Besides the above-mentioned causes, other conditions such as rheumatoid arthritis, Sjögren's syndrome, paroxysmal nocturnal hemoglobinuria, or lymphoma may also be responsible. Patients are advised to seek timely medical evaluation at a reputable hospital.

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