What Is Platelet Count in a Blood Test?

Platelets (thrombocytes) are cell fragments that form blood clots to stop bleeding. The platelet count measures how many are in a microliter of blood.

Normal Range

  • 150,000–450,000/µL
  • Below 50,000: increased bleeding risk
  • Below 20,000: spontaneous bleeding risk
  • Above 450,000: increased clotting risk

Low Platelets (Thrombocytopenia)

  • Immune thrombocytopenia (ITP)
  • Bone marrow suppression — chemotherapy, leukemia
  • Medications — heparin, certain antibiotics
  • Liver disease with enlarged spleen
  • Viral infection — HIV, hepatitis C
  • Pregnancy — usually mild
  • Alcohol use

High Platelets (Thrombocytosis)

  • Reactive — infection, inflammation, iron deficiency, surgery
  • Essential thrombocythemia — bone marrow disorder
  • Post-splenectomy

Symptoms

  • Low: easy bruising, petechiae, nosebleeds, prolonged bleeding
  • High: headaches, dizziness, clotting symptoms
Source: NLM MedlinePlus, American Association for Clinical Chemistry.

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