Immune Mediated Thrombocytopenia

This week’s segment features Bowie the 4 year old standard poodle!!! 🐩 Bowie presented to us for acting lethargic and having dark tarry stool. When he presented he noted on his physical exam that he had petechiae (bruising) on his gums and inner thighs. Upon performing some bloodwork it was noted that Bowie had immune mediated thrombocytopenia. Immune-mediated thrombocytopenia (IMT) is a condition where a dog’s immune system mistakenly attacks and destroys its own platelets—the cells that help blood clot. Dogs with IMT may develop bruising, pinpoint red spots on the skin or gums, nosebleeds, bloody urine or stool, or sudden bleeding after minor injuries. Diagnosis typically involves bloodwork to check platelet counts, along with tests to rule out other causes of low platelets. Treatment often includes immunosuppressive medications to calm the immune system, along with supportive care to control bleeding and stabilize the patient. With early recognition and proper treatment, many dogs can recover, though some may need long-term management. Thanks to early and aggressive treatment by Dr. Field and our staff, Bowie is well on his way to recovery!! 🩸

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