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What is TTP in CBC?

Published in Hematology 2 mins read

In the context of a Complete Blood Count (CBC), TTP refers to the typical findings associated with Thrombotic Thrombocytopenic Purpura (TTP), a rare blood disorder.

Typical CBC Findings in TTP

When a patient is suspected of having TTP, a CBC is a crucial diagnostic tool. While it doesn't definitively diagnose TTP (which requires further testing), it provides essential clues. The typical CBC results in a TTP patient are:

  • Thrombocytopenia: This is the most critical finding. The platelet count is significantly reduced, generally ranging from 20,000 to 50,000/μL. Normal platelet counts are usually between 150,000 and 450,000/μL. This low platelet count contributes to the 'thrombocytopenic' part of the TTP name.

  • Hemolytic Anemia: TTP causes red blood cells to be damaged as they pass through small blood vessels obstructed by blood clots (thrombi). This leads to hemolytic anemia. Hemoglobin levels are typically moderately depressed, often in the range of 8-9 g/dL.

  • Normal or Slightly Elevated White Blood Cell (WBC) Count: Unlike some other conditions, the total white blood cell count in TTP is usually within the normal range or only slightly elevated. This helps to differentiate it from infections or other inflammatory conditions that cause a more pronounced increase in WBCs.

Importance of Recognizing TTP in CBC Results

Recognizing these characteristic changes in a CBC is crucial for prompt diagnosis and treatment of TTP. TTP is a medical emergency, and delayed treatment can lead to severe complications and even death. If TTP is suspected based on CBC results and clinical presentation, further investigations (such as ADAMTS13 testing) are necessary to confirm the diagnosis and initiate appropriate therapy.

Summary of TTP Findings in CBC

CBC Parameter Typical TTP Result
Platelet Count 20,000-50,000/μL (Significantly Decreased)
Hemoglobin Concentration Moderately Depressed (e.g., 8-9 g/dL)
White Blood Cell Count Normal or Slightly Elevated

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