Case ReportInternational Journal of Research in Medical Sciences

Publication:
Normal platelet count and leukocytosis findings in chronic liver disease patient with portal hypertension: a rare case

Int J Res Med Sci. 2023;11(6):2257-2260.DOI10.18203/2320-6012.ijrms20231410

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Abstract

Haematologic abnormalities are commonly encountered in chronic liver disease (CLD) due to hypersplenism occurred. Hypersplenism in CLD is a major cause of peripheral pancytopenia in patients with hepatic cirrhosis and portal hypertensive gastropathy and is characterized by splenomegaly. Peripheral pancytopenia is defined as a reduction in all three major constituents of the blood to below lower normal range, manifesting as anemia, leukopenia, and thrombocytopenia all occurring at the same time. We report an unusual case, a 44-year-old female patient, no splenomegaly, presented with severe anemia, leukocytosis and normal platelet which are rarely found in CLD. Keywords : chronic liver disease, portal hypertensive gastropathy, hypersplenism, leukocytosis, normal platelet

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Affiliations

  1. Department of Internal Medicine, Wangaya Hospital, Denpasar, Bali, Indonesia
  2. Department of Internal Medicine, Merpati Clinic, HIV and Allergy-Clinical Immunology Services Unit, Wangaya Hospital, Denpasar, Bali, Indonesia

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