u/megnelson

Sharp drop in platelets 7 mo post SCT

Hi, looking to get some reassurance or just bounce ideas...

My brother has ALL b cell ph-, had CAR-T and then a SCT in October. He did great thru his transplant, built blood and platelets easily.

He usually runs about 200k platelets now and was getting some routine bloodwork after spotting some petechiae and his platelets have dropped to 17k out of nowhere. We are 7 months post transplant. He's off tacro.

His last bloodwork was April 20th and everything was normal.

The only thing that has dropped are his platelets, wbc rbc and hemoglobin are all in normal healthy ranges, its just the platelets that dropped. Oh and his liver enzymes are elevated as well but bilirubin is normal.

He talked to his team and they don't seem overly excited, they scheduled more bloodwork for Friday and will be scheduling a biopsy pending those results.

We are obviously shaken.

The only thing that has happened recently is he went thru a small cold like virus like 3 weeks ago.

Sorry if this is all over the place or worded wrong, my head is swimming tonight.

Just looking for some reassurance or I don't know. Any input appreciated :)

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u/megnelson — 2 days ago