Tushar Pandey: When Low Platelets Are Not ITP
Tushar Pandey, Director and Head of Raghav Institute of Hematology, Hemato-Oncology and BMT at Raghav Healthcare, Editorial Board Member at Journal of Cancer Chemotherapy, Program Director of Hemato – Oncology at International Association For Integrated Oncology, shared a post on LinkedIn:
”When to suspect ITP, TTP, HIT and VITT – a clinical priority
Thrombocytopenia is common…
But not all low platelets are ITP.
Early recognition can be life-saving.
Think beyond ITP
ITP (Immune Thrombocytopenia)
- Isolated low platelets
- Mucocutaneous bleeding
- Normal Hb and WBC
TTP (Thrombotic Thrombocytopenic Purpura)
- Thrombocytopenia plus MAHA
- Neurological symptoms
- Renal involvement
Hematological emergency
HIT (Heparin Induced Thrombocytopenia)
- Platelet fall more than 50%
- 5–14 days after heparin
- Thrombosis present
VITT (Vaccine Induced Thrombotic Thrombocytopenia)
- 5–30 days post vaccination
- Unusual thrombosis (CVST, splanchnic)
- High D-dimer
Key takeaway
Low platelets are not all the same
Missing these diagnoses can be fatal
Clinical rule
Thrombocytopenia plus
- Hemolysis
- Thrombosis
- Neurologic symptoms
- Drug / vaccine history
Think TTP / HIT / VITT
Hematologist should be consulted whenever such suspicions arise
Early suspicion. Timely diagnosis. Right decision – Saves lives.”
Stay updated with Hemostasis Today.
-
Sep 21, 2026, 14:10Aswin K Mohan: Lessons from TRANSCON 2026: Building Resilient Blood Supply Systems Before Crisis Hits
-
Sep 21, 2026, 14:00Vincent Lu: Beyond PT and aPTT – How Hemostasis Evolves Across a Lifetime
-
Sep 21, 2026, 13:56Alex Knapp: Emerging Tech, Space Tow Trucks, and New Advances in Hemophilia Treatment
-
Sep 21, 2026, 13:51Abdalhakim Shubietah: pLAAO Fails Noninferiority to OAC in Landmark Meta-Analysis of 7 RCTs
-
Sep 21, 2026, 13:21In His Last UNGA, António Guterres Delivers a Urgent Call for Global Unity
-
Sep 21, 2026, 13:14Fatih Mehmet Gul: Are We Moving Faster Than Our Ability to Ask ‘Should We?’
-
Sep 21, 2026, 13:08Sangita Reddy: How Does Our Own Healthcare Journey in India Look Through the Same Lens?
-
Sep 21, 2026, 12:53Conan McIlwrath: Strengthening Haemophilia Care Through International Collaboration
-
Sep 21, 2026, 12:41Tinatin Muradashvili: Advancing Hemophilia Care Through Education and Collaboration