Leukopenia and thrombocytopenia are what diseases

Written by Zhang Jun Jun
Endocrinology
Updated on September 02, 2024
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Diseases caused by decreased white blood cells and platelets are often related to our hematological system, since both white blood cells and platelets are produced by our hematopoietic factors. When there is a decrease in both white blood cells and platelets, we generally consider that there might be an issue with our hematopoietic system. The most common conditions could be diseases related to the hematological system, such as leukemia, or aplastic anemia. These conditions can cause a decrease in the mentioned indices. Another disease is cirrhosis, especially in patients in the compensatory stage, which can lead to hyperfunctioning of the spleen. The spleen is also an immune organ, as well as a part of our hematopoietic system, so when the spleen is hyperactive, it can also result in decreased white blood cells and platelets.

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Written by Zhao Xin Lan
Endocrinology
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Can you eat pumpkin with leukopenia?

Leukopenia has no significant relation to consuming pumpkin. The main nutritional contents of pumpkin are starch, which ultimately breaks down into fructose and glucose, and pumpkin also contains a large amount of cellulose. Fructose, glucose, and cellulose do not cause leukopenia, so it is safe for people with leukopenia to eat pumpkin. The primary causes of leukopenia are usually related to disturbances in the hematopoietic function of the bone marrow, such as myelodysplasia or bone marrow suppression caused by radiation therapy. Additionally, it can be caused temporarily by certain medications. Therefore, it is important to actively treat any underlying diseases causing the leukopenia.

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Written by Zhang Jun Jun
Endocrinology
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What are the symptoms of leukopenia?

The most common cause of leukopenia is viral infections, along with some severe bacterial infections. Common symptoms of viral and bacterial infections include dizziness, headache, nausea, vomiting, chills, fever, cough, expectoration, abdominal pain, diarrhea, urgent urination, and frequent urination. Generally, further examinations can be conducted through blood draws and routine tests of blood, urine, and stool cultures. If there is an accompanying hematological disease, such as thrombocytopenia, symptoms can include general weakness, body aches, and bone pain; further bone marrow examinations should be conducted.

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Written by Zhang Jun Jun
Endocrinology
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What to check for the cause of leukopenia?

If there is a decrease in white blood cells, we mainly look at the total number of white blood cells and the absolute value of neutrophils in our routine blood test. The causes of leukopenia are inseparable from neutrophils, and can be mainly divided into three categories. The first category is a production defect of neutrophils, the second is excessive destruction and consumption of neutrophils, and the third is abnormal distribution of neutrophils. A major cause of decreased production of white cells and neutrophils is damage to hematopoietic stem cells by ionizing chemicals. Additionally, immune reactions and bone marrow diseases can also lead to decreased production. Another cause is a production defect due to maturation disorders in neutrophils within white blood cells, leading to reduced white blood cell production. Maturation disorders are mainly due to a lack of raw materials needed for white blood cell production. Excessive destruction and consumption of white blood cells are often due to immune factors. Immune factors are common in autoimmune diseases, thus such diseases can also lead to leukopenia. The last category, abnormal distribution, can be a severe infection that causes an abnormal distribution of white cells, retaining them alongside other substances, such as in patients with enlarged spleens, which can provoke leukopenia by causing granulocytes to be retained in circulation, especially in areas like the spleen.

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Written by Zhang Jun Jun
Endocrinology
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Is leukopenia leukemia?

Leukopenia is not necessarily indicative of leukemia. There are many causes for a decrease in white blood cells, some of which can be due to medications. Currently, many drugs can cause a reduction in white blood cells, and in such cases, stopping the drug will typically allow the white blood cells to return to normal. A second scenario, especially in patients with an enlarged spleen or those suffering from cirrhosis, can also lead to a decrease in white blood cells. In these cases, it is mainly the abnormal function of the spleen that causes the reduction in white cells. Additionally, there are blood-related diseases, which might be leukemia or other types of blood disorders. In these situations, not only is there a reduction in white blood cells, but there is also a decrease in hemoglobin and platelets. Moreover, a significant increase in white blood cells is also a manifestation of leukemia, thus a decrease in white cells is not definitively indicative of leukemia.

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Written by Tang Zhuo
Endocrinology
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What are the symptoms of leukopenia?

Leukopenia is a common hematological disorder that can occur at any age. It is defined as leukopenia when the total number of white blood cells in the peripheral blood consistently falls below four times ten to the ninth power per liter. The onset of this disease is usually gradual with mild symptoms such as fatigue, palpitations, dizziness, low fever, prone to pharyngitis or mucosal ulcerations, and also includes loss of appetite, limb fatigue, insomnia with frequent dreams, and a cold stomach and backache. It makes one more susceptible to viral and bacterial infections such as colds. If leukopenia is caused by an infection, common symptoms include high fever, chills, and body aches. If the total number of white blood cells is significantly reduced, with an absolute neutrophil count below 0.5 times ten to the ninth power per liter, it is referred to as neutropenia. In such cases, the patient may experience chills, high fever, sore throat, headache, joint pain, and in severe cases, even coma and death.