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.
-
Apr 27, 2026, 15:38Key Insights from ESHMPN 26 on Advances in MPN Management – ESH
-
Apr 27, 2026, 15:30Shahid Gilani: Risk of Thrombosis in Central Venous Catheters in Cancer Patients
-
Apr 27, 2026, 15:24Anirban Sen Gupta: PlateChek Microsensor for Rapid Coagulation Testing
-
Apr 27, 2026, 15:04Tareq Abadl։ Why You Should Never Separate Serum Before Clotting Is Complete
-
Apr 27, 2026, 14:55Diana Domenica Bruno։ Flying During Pregnancy and Clinical Considerations
-
Apr 27, 2026, 14:46Mariam Swidan: Hemolytic Anemia – Disease Overview
-
Apr 27, 2026, 14:39Talha Aman: How CABG Works to Restore Blood Flow to the Heart
-
Apr 27, 2026, 14:38Olivia Romero Lux: Raising Awareness of Bleeding Disorders in Women
-
Apr 27, 2026, 14:37Mansi Kala: Improving Patient Care in Hematological Disorders Through Diagnostic Challenges Research at ISTH 2026