Practicing since 2008
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Hello,
hello platelet count could be due to several factors, in your case specifically most likely from the lupus flare-up Vs ongoing use of colchicine which can cause bone marrow suppression. Your inflammation markers like C-reactive protein were quite high. As for as dropping hematocrit, it could be from hemolysis( breakdown of red blood cells) again from directly lupus Vs being trapped in the spleen. You might have received a significant amount of intravenous fluids which could dilute the blood and temporarily appear as low hemoglobin/hematocrit. the bands( immature neutrophil) were elevated in the last set of labs, which I cannot ascertain the specific date from the picture. that was suggestive of ongoing infection or inflammation . again apologize I cannot read the date on the last set of labs. It might be beneficial to get recent labs and see where you stand with your hemoglobin as well as platelet counts. The list of medications, health conditions that can cause low platelets is quite extensive. However, looking at the list of medication that you are on right now, colchicine and Plaquenil are at the top of the list . I suggest continuing followup with the rheumatologist and getting the blood retested. they might consider changing the medications.
Sincerely,