Prolonged decrease in platelets, sometimes with leukopenia

Patient: Description of condition (onset, main symptoms, hospital visited, etc.): I was found to have hyperthyroidism for 10 years (2001), and now I have rheumatism (2008), splenomegaly (2010), leukocytopenia (2001), and my platelets immediately dropped when I stopped the platelet-raising amineptin. The platelets are still low after taking the test results in early April. He is irritable and sometimes depressed, lethargic, afraid of cold and heat, poor sleep, sleepy, thirsty, fast heart rate, etc. Hospital: Gansu Provincial People’s Hospital, Gansu Lanzhou Military General Hospital, Gansu Qingyang City People’s Hospital, Gansu Qingyang City Three Hospitals, Gansu Qingcheng County People’s Hospital, Qibo Chinese Hospital, Qingcheng County Changqing General Hospital of Petroleum. Shaanxi Xijing Hospital, Shaanxi Xi’an Jiaotong University Affiliated Second Hospital. Hyperthyroidism: detected in 2001, stopped taking hyperthyroidism in 2003, relapsed in 2004, cured in 2006, took tabazol and propylthiouracil and leukocyte-raising drugs. 09 years of physical examination, low white blood cells, took B4 to raise the white blood cells, and then did not do the examination until September 2010, again detected thyroid disease, this time hyperthyroidism caused by thyroiditis, the doctor said that the recovery period will be changed from hyperthyroidism to hypothyroidism and then The doctor said that the recovery period will change from hyperthyroidism to hypothyroidism and then back to normal, but there is a possibility that it may not be able to return or may become hyperthyroidism, and the last time I checked my thyroid function was on May 8, 2011. 2, rheumatism: was given birth to a child in 2008, after all the joint pain, especially the left side of the body, and is wandering type, both hands finger joint pain numbness, sometimes sleep at night will wake up numb pain, January 2009 to September ate 9 months of Chinese medicine, now much better, but from time to time will also joint, sciatic nerve, neck, back pain, especially when the day is cloudy, change of day. Recently, my right toe is numb and my hands are numb and painful when I sleep at night. White blood cell and platelet reduction: I had this phenomenon when I found out about hyperthyroidism, but I was taking hyperthyroidism medication and using leukocyte-boosting medication (leukocyte-boosting medication) at the same time. In September 2008, I had a baby and in June 2009, I had a medical checkup and found that my white blood cells had decreased again. In 2011, we checked the platelet count several times, and the lowest value was 52. 4. Gallbladder polyps and splenomegaly: In May 2008, when I was 5 months pregnant, I found out that I had gallbladder infection. I want to find out the cause of the disease as soon as possible and get proper treatment to relieve my long-standing pain! Thank you! Bai Yusheng, Department of Hematology, Xinjiang Uygur Autonomous Region Hospital of Traditional Chinese Medicine
Yusheng Bai, Department of Hematology, Xinjiang Autonomous Region Hospital of Traditional Chinese Medicine.
Hello!
    Among the diseases you have, hyperthyroidism, rheumatism and splenomegaly are possible causes of leukocytopenia and thrombocytopenia; and some of the drugs used to treat hyperthyroidism are also factors that cause leukocytopenia. Therefore, treating the primary disease is an important measure, that is, treating the root cause, while taking into account the treatment of raising white blood cells and platelets, that is, treating the symptoms. Only in this way can we achieve a balance between the symptoms and the root cause.