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Platelets........


Guest LittleGreys

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Guest LittleGreys

I know there is another thread going right now with a similar question of "how low can they go". Does anyone here have experience with their greyhound with really low platelets?

Munchie's last week were 66000, today down to 60000. We had fully expected them to be up, not down!

She has a few very small bruises, my vet said they do not usually bruise/bleed until they drop below 40.

Her white cell count is down to 2.2, so we are very concerned about infection, and especially so since she is already battling proteus m.

My vet is still very positive, but I am beginning to worry, a lot.

 

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One of my boys had very very low platelets but it was due to VW. As long as we were very careful with him he did okay with it. The only problem he had was when he had to have a tooth surgically extracted they had to have platelets on hand.We had to stop going to the dog park because any injury could have been life threatning for him.

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Missing my little Misty who took a huge piece of my heart with her on 5/2/09, and Ekko, on 6/28/12

 

 

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Please visit this website for OSU's Greyhound Wellness program. One of the nice things is that they have given you the information on the differences between greyhound blood work and other canines. Some vets may not be greyhound saavy in regards to these differences. Its also good for you to know. Thank you Dr. Couto for all of this valuable information that has been made available to us and our vets.

 

http://vet.osu.edu/2098.htm

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The more I see of man, the more I like dogs. ~Mme. de Staël
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I don't know. Might email Dr. Feeman with those questions?

 

IIRC, when Batman took his one chemo dose, the UW-Madison docs just weren't worried about WBC. They wanted antibiotics if it dropped below ?1200? (1.2 by your measure). Which it did.

 

When my dad was having chemo, I don't think they bothered giving him platelets until he got down around 11,000 or so, and normal range for people is 150,000 and up. He did knick himself here and there, and bled/bruised a little more than normal, but not so you'd worry about it.

 

'Course, neither of them is Munchie.

Star aka Starz Ovation (Ronco x Oneco Maggie*, litter #48538), Coco aka Low Key (Kiowa Mon Manny x Party Hardy, litter # 59881), and mom in Illinois
We miss Reko Batman (Trouper Zeke x Marque Louisiana), 11/15/95-6/29/06, Rocco the thistledown whippet, 04/29/93-10/14/08, Reko Zema (Mo Kick x Reko Princess), 8/16/98-4/18/10, the most beautiful girl in the whole USA, my good egg Joseph aka Won by a Nose (Oneco Cufflink x Buy Back), 09/22/2003-03/01/2013, and our gentle sweet Gidget (Digitizer, Dodgem by Design x Sobe Mulberry), 1/29/2006-11/22/2014, gone much too soon. Never forgetting CJC's Buckshot, 1/2/07-10/25/10.

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WBC doesn't sound too low for a grey. Platelets: if I remember right, vets get very concerned under 50,000. Since she is bruising at 60,000, I'd keep a close eye on her. What are you doing to up the platelets?

 

Sending prayers. This little girl has been thru so much! :grouphug

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Guest LittleGreys
WBC doesn't sound too low for a grey. Platelets: if I remember right, vets get very concerned under 50,000. Since she is bruising at 60,000, I'd keep a close eye on her. What are you doing to up the platelets?

 

Sending prayers. This little girl has been thru so much! :grouphug

 

Her white cell usually runs around 11000, so I am concerned that it has dropped so much and so quickly.

She is already on pred.

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If her WBC has dropped from 11000 ... that could be just a sign that the antibiotics she is/was on are working and bringing her WBC back down to normal range. Fingers crossed!

Star aka Starz Ovation (Ronco x Oneco Maggie*, litter #48538), Coco aka Low Key (Kiowa Mon Manny x Party Hardy, litter # 59881), and mom in Illinois
We miss Reko Batman (Trouper Zeke x Marque Louisiana), 11/15/95-6/29/06, Rocco the thistledown whippet, 04/29/93-10/14/08, Reko Zema (Mo Kick x Reko Princess), 8/16/98-4/18/10, the most beautiful girl in the whole USA, my good egg Joseph aka Won by a Nose (Oneco Cufflink x Buy Back), 09/22/2003-03/01/2013, and our gentle sweet Gidget (Digitizer, Dodgem by Design x Sobe Mulberry), 1/29/2006-11/22/2014, gone much too soon. Never forgetting CJC's Buckshot, 1/2/07-10/25/10.

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Guest LittleGreys
If her WBC has dropped from 11000 ... that could be just a sign that the antibiotics she is/was on are working and bringing her WBC back down to normal range. Fingers crossed!

No, it has been in that range her whole life. Usually between 9-15.

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Guest LittleGreys
60,000 is too low... not normal. What has been done to work her up? TBD titers?

 

here is a link to some good information:

 

http://www.VeterinaryPartner.com/Content.plx?P=A&A=1412

Sorry, I guess I should have been more specific......I know WHY it is low, she was on Imuran for her IMPA. I just want to know how low it can get before I should start to really panic. She has been off the Imuran for 10 days........

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Guest greyladydown
60,000 is too low... not normal. What has been done to work her up? TBD titers?

 

here is a link to some good information:

 

http://www.VeterinaryPartner.com/Content.plx?P=A&A=1412

Sorry, I guess I should have been more specific......I know WHY it is low, she was on Imuran for her IMPA. I just want to know how low it can get before I should start to really panic. She has been off the Imuran for 10 days........

 

Forgive me if I'm a little confused. It's my experience that Imuram is the brand name for Azathioprine and is one of the drugs used to treat auto-imune platelet destruction. So, her platelet count should rise when she's on Imuran, and drop when she's no longer taking it if she had an auto-immune problem. Imuran can cause a drop in the WBC, so it needs to be used carefully.

 

I lived through 3 years of Az/Pred treatments coupled with weekly CBCs with my sheepdog/terrier mix. My vet said that if I saw any bruising, to up his Pred immediately and get him in for a CBC ASAP. Sometimes his platelet count would drop to 20,000. It was a very scary time for all of us.

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Guest LittleGreys

Forgive me if I'm a little confused. It's my experience that Imuram is the brand name for Azathioprine and is one of the drugs used to treat auto-imune platelet destruction. So, her platelet count should rise when she's on Imuran, and drop when she's no longer taking it if she had an auto-immune problem. Imuran can cause a drop in the WBC, so it needs to be used carefully.

 

I lived through 3 years of Az/Pred treatments coupled with weekly CBCs with my sheepdog/terrier mix. My vet said that if I saw any bruising, to up his Pred immediately and get him in for a CBC ASAP. Sometimes his platelet count would drop to 20,000. It was a very scary time for all of us.

 

It's confusing for me, too! From what I understand, azathioprine can be used for auto-immune platelet disorders, which she does NOT have. I'm told there is a difference. Azathioprine would be used in cases such as autoimmune hemolytic anemia, where the immune system is attacking the platelets. Her immune disease does not affect her blood.

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Guest greyladydown

It's confusing for me, too! From what I understand, azathioprine can be used for auto-immune platelet disorders, which she does NOT have. I'm told there is a difference. Azathioprine would be used in cases such as autoimmune hemolytic anemia, where the immune system is attacking the platelets. Her immune disease does not affect her blood.

 

Oh, thanks. What is causing her low platelet count?

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Guest LittleGreys

I copied this from the Pet Pharmacy website.........

 

<<Side Effects

 

One of the main issues with azathioprine is a problem with the bone marrow suppression. Cells of the bone marrow are rapidly dividing and thus at risk for suppression from azathioprine. For this reason, at least in early stages of use, complete blood counts (CBCs) are monitored frequently, typically every 2 weeks for the first couple of months.

 

Signs of a bone marrow problem that might be observable at home include abnormal bruising or inappropriate bleeding (bloody nose, bloody stool, blood in urine, excess bleeding from a minor wound etc.) If bone marrow suppression has not occurred in the first couple of months of therapy, it is unlikely that it will occur later on.>>

 

So, the Imuran caused her low platelets. We're just not sure why they aren't coming back up yet.........

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Guest greyladydown
I copied this from the Pet Pharmacy website.........

 

<<Side Effects

 

One of the main issues with azathioprine is a problem with the bone marrow suppression. Cells of the bone marrow are rapidly dividing and thus at risk for suppression from azathioprine. For this reason, at least in early stages of use, complete blood counts (CBCs) are monitored frequently, typically every 2 weeks for the first couple of months.

 

Signs of a bone marrow problem that might be observable at home include abnormal bruising or inappropriate bleeding (bloody nose, bloody stool, blood in urine, excess bleeding from a minor wound etc.) If bone marrow suppression has not occurred in the first couple of months of therapy, it is unlikely that it will occur later on.>>

 

So, the Imuran caused her low platelets. We're just not sure why they aren't coming back up yet.........

 

Thanks so much, Sue. I understand it now. White light for Munchie!

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