Trombositozu olan çocuğa yaklaşım
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Date
2017
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Publisher
Uludağ Üniversitesi
Abstract
Trombosit sayısının 450.000 mm3 üzerinde olması trombositoz olarak kabul edilir. Nedenlerine göre sekonder ya da primer olarak gruplandırılır. Çocukluk çağında genellikle trombositozun nedeni sekonder nedenlerdir ve neden olan hastalığın kontrol altına alınması ile trombositoz geriler. Sekonder trombositoz kendini sınırlayan bir durumdur. Nadiren ve özellikle altta yatan bir risk faktörü var ise tromboemboliye neden olur. Myeloproliferatif hastalıklar içinde gruplandırılan primer trombositozlar çocukluk çağında çok nadirdir. Primer trombositozda tromboembolik olaylar en önemli mortalite ve morbidite nedenidir. Primer trombositozlu hastaların bir kısmı kanama bulguları ile gelebilir.
The platelet count above than 450.000 mm3 is defined as thrombocytosis. According to the underlying causes, thrombocytosis is classified as primary (essential) or secondary (reactive) thrombocytosis. In childhood, the most common causes of thrombocytosis are secondary reasons. Secondary thrombcytosis is a self-limited disease. It resolves with under the control of underlying disorder. Secondary trombocytosis usually does not result in tromboembolic event. If trombembolic complication occurs, such cases have got additional risk factors. Primary trombocytosis is grouped under the myeloproliferative disease and is exremely rare in childhood. Tromboembolic events in primary trombocytosis are the most important causes of mortality and morbidity. Some cases with primary thrombocytosis may present with bleeding symptoms.
The platelet count above than 450.000 mm3 is defined as thrombocytosis. According to the underlying causes, thrombocytosis is classified as primary (essential) or secondary (reactive) thrombocytosis. In childhood, the most common causes of thrombocytosis are secondary reasons. Secondary thrombcytosis is a self-limited disease. It resolves with under the control of underlying disorder. Secondary trombocytosis usually does not result in tromboembolic event. If trombembolic complication occurs, such cases have got additional risk factors. Primary trombocytosis is grouped under the myeloproliferative disease and is exremely rare in childhood. Tromboembolic events in primary trombocytosis are the most important causes of mortality and morbidity. Some cases with primary thrombocytosis may present with bleeding symptoms.
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Keywords
Trombositoz, Çocuk çağı, Reaktif trombositoz, Thrombocytosis, Childhood, Reactive thrombocytosis
Citation
Evim, M. S. vd. (2017). "Trombositozu olan çocuğa yaklaşım". Güncel Pediatri, 15(3), 60-70.