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Indian Journal of Pathology and Oncology


Role of mean platelet volume (MPV) in diagnosing categories of thrombocytopenia


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Author Details : Pritam Sewakdas Khairkar, Sarika More, Ashish Pandey, Megha Pandey

Volume : 3, Issue : 4, Year : 2016

Article Page : 606-610


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Abstract

Introduction: Thrombocytopenia (TCP) is a common clinical problem and its etiology varies widely. Automated hematology analyzers have contributed to more accurate, precise, and faster results. Platelet indices including mean platelet volume (MPV) offer valuable information about the morphology and maturity of platelets. But MPV has not been used commonly for diagnosing the cause of TCP. Thus we undertook this study to ascertain the correlation between MPV and the cause of TCP.
Methods: 510 cases of thrombocytopenia and 500 cases of Control group with normal platelet count were included in the study. TCP was defined as platelet counts below 1.5 lacs/cumm. Hematological analysis was done on Mindray BC-3000 plus automated hematology analyzer with blood collected in K-EDTA blub. All cases were reevaluated by peripheral examination. Only those cases were included in the study which showed platelet count and platelet volume parameters with graph both in cases and control group.
Result: Group A with hyperdestruction showed increased value of MPV (10.46 fl) when compared with hypoproduction Group B (8.7 fl) and abnormal pooling Group C (8.15 fl) and with the control group (9.5 fl).  All the three groups showed statistically significant difference in comparison to control. There was no significant difference between the mean platelet count between the control group and the three groups.
Conclusion: MPV is a sensitive and reliable indicator for diagnosis of thrombocytopenia due to various causes.  More attention should be paid to MPV along with other platelet indices to differentiate between hyperdestructive TCP from hypoproductive and abnormal pooling TCP.

Keywords:
Thrombocytopenia (TCP), Mean Platelet Volume (MPV), Platelet indices & platelet volume parameters

How to cite : Khairkar P S, More S, Pandey A, Pandey M, Role of mean platelet volume (MPV) in diagnosing categories of thrombocytopenia. Indian J Pathol Oncol 2016;3(4):606-610

Copyright © 2016 by author(s) and Indian J Pathol Oncol. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (creativecommons.org)