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I have been having a few Petechiae pop up a few at a time…

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I have been having a...
I have been having a few Petechiae pop up a few at a time mostly on my thighs and under the arm area. I also bruise easily. I mentioned it to my dr and he ran 3 different lab tests. CBC, CardioLipin, and Protime INR. Do you feel like these are the tests that should be run? CBC and Protime test are normal. Haven't got the CardioLipin test yet. Also, I noticed my RBC is slightly elevated. The normal max for a woman is 5.0. These are all of the readings I have had for years of doing CBC's . As you can see the last ones have gone up slightly past 5.0. Any significance in this slight elevation ? 4.73
4.69
4.94
5.06
5.02
4.95
5.11
5.27
5.27
5.28
Submitted: 7 months ago.Category: Medical
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Answered in 12 minutes by:
9/28/2017
Doctor: Vakul Aren, Doctor replied 7 months ago
Vakul Aren
Vakul Aren, Doctor
Category: Medical
Satisfied Customers: 4,517
Experience: MBBS,DTM&H,38 years of experience
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Hello,I am Dr. Aren and I will help with your query.The elevated RBC count is not of much significance.what would be pertinent would be the cause of the petichiae.THe petichiae usually appear due to bleeding from the capillaries in the skin,it can occur when the platelets( a blood cell which prevents bleeding) are down,as also disturbance in the coa -gulation factors which help the blood turn solid from liquid state and prevent bleeding.Also the use of certain drugs which may encourage bleeding,certain viral diseases which tend to promote petichiae formation,autoimmune diseases,radiation,trauma,Henoch Schonlein's Purpura, thrombocytopenia,aging,leukemias,bacteriamias,sepsis and idiopathic purpura need to be investigated.

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Customer reply replied 7 months ago
I have chronic Epstein barr virus and a very slightly elevated gamma globulins and a very high C4a level. Those are my only tests that are abnormal. Wouldn't I have more symptoms with something like sepsis? Been tested for autoimmune diseases which are negative. I take Losartan and Diltiazem. Platelets are normal. Are the tests he ran ruling out coagulation problems?
Doctor: Vakul Aren, Doctor replied 7 months ago

If all tests are normal,including coagulation time and bleeding time,this would sugest no problem with the coagulation factors or platelets.The only diagnosis left is of Idiapthic Purpura which cannot be attributed to any cause.

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Customer reply replied 7 months ago
if the Protime INR, and the CardioLipin test are normal then do those 2 tests alone rule out clotting disorders?
Doctor: Vakul Aren, Doctor replied 7 months ago

If the Prothrombin time and Partial Thrombin Time(PTT) are normal,there is no problem with the coagulation factors.The cardiolipin test is used to test for for auto immune diseases.

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Customer reply replied 7 months ago
Is the Protime INR the same as Prothrombine time and PTT as you referred to above?
Doctor: Vakul Aren, Doctor replied 7 months ago

The PTT is different,the Protime INR and The prothrombin time appear to be the same thing.

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