My baby is four months old and was found to have elevated platelets during a hospital check-up. I’m not sure how to handle this situation. These indicators are within the normal range. A platelet count of 450,000 (you mentioned 4.5 million, which should be 4,500 multiplied by 10, raised to the power of 10, which is definitely abnormal) or more is considered abnormal in children. Are the white blood cells and hemoglobin normal? If they are, you can observe for a while; I haven’t seen any serious diseases. Elevated platelets usually require the exclusion of the following diseases: primary thrombocytosis and secondary thrombocytosis. It is recommended to follow the doctor’s advice for treatment.