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Plateletpheresis
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===Thrombocytopenia due to underproduction=== Recipients in this category include those undergoing chemotherapy, those with [[myelophthisic anemia]], [[AIDS]], or with [[aplastic anemia]]. If indicated, transfusions (one thrombapheresis concentrate) should be given until recovery of platelet function, generally approximately twice weekly. Surgical bleeding due solely to thrombocytopenia occurs when platelets < 50,000/μL while spontaneous bleeding occurs when platelets < 10,000/μL. Thrombocytopenic patients can develop "dry" bleeding, that is, [[petechiae]] and [[ecchymoses]] only. They will not suffer fatal hemorrhagic events unless they first have extensive mucosal bleeding, or "wet" bleeding. Therefore, in those with no bleeding or only "dry" bleeding, the threshold for transfusion should be between 5,000 and 10,000/μL. A more conservative threshold of 20,000/μL should be used in those with a fever or other risk factors for bleeding. Those with active bleeding or prior to surgery should have a threshold of 50,000/μL. An unconfirmed, but helpful, way to determine whether a patient is recovering from chemotherapy-induced thrombocytopenia is to measure "reticulated" platelets, or young RNA-containing platelets, which signifies that the patient is starting to make new platelets.{{cn|date=December 2021}}
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