Question
Symptom Description: A 4-year-old child experienced abdominal pain, fever (38~39 degrees), and a runny nose one week ago. Self-administered over-the-counter medications including Anruike, Jianwei Xiaoshitang, and pediatric cold syrup, along with a small amount of antiviral medication. Symptoms have improved, but blood routine tests show white blood cell count 3.4, platelet count 58, neutrophil percentage 40.52%, and lymphocyte percentage 45.60%. Hope to receive professional advice from a hematologist regarding whether the low platelet count is a serious issue and appropriate treatment methods. Has a history of nasal mucosal bleeding.
Answer
Thrombocytopenia is an immune system-related disease that not only reduces the number of platelets but also affects their function. Clinical observations show that most patients can detect autoantibodies against platelets in their serum, which can bind to both autoantibodies and heteroantibodies to form complexes, stimulating lymphocytes to produce toxic effects on platelets, leading to reduced platelet production. It is recommended to actively treat symptoms in combination with local clinical doctors and your own condition, avoiding blind medication.