Can a platelet count of 65×10^9/L return to normal?

In general, whether a platelet count of 65×10^9/L can recover depends on the specific underlying cause.

The normal range for platelet count is typically 150-400×10^9/L. A platelet count of 65×10^9/L falls below the normal range, indicating a significant decrease in platelets. Patients may experience symptoms such as subcutaneous bleeding, bruising, nosebleeds, or gum bleeding. There are many causes of thrombocytopenia, including viral infections, drug reactions, autoimmune diseases, and bone marrow disorders.

If the decrease is caused by temporary factors such as a viral infection, the platelet count usually gradually returns to normal levels following resolution of the infection. If drug side effects are responsible, discontinuation of the medication may lead to gradual normalization of the platelet count. For autoimmune thrombocytopenia, most patients show improvement in platelet counts with treatment using immunosuppressive agents or hormones. However, if thrombocytopenia is caused by severe bone marrow diseases such as aplastic anemia or leukemia, more complex treatment strategies, such as hematopoietic stem cell transplantation, may be required, and the process of restoring platelet counts to normal may be more complicated and prolonged.

During treatment, it is recommended to regularly monitor platelet counts. Additionally, medications that may impair platelet function, such as aspirin and nonsteroidal anti-inflammatory drugs, should be avoided to prevent interference with recovery.