By Mayo Clinic Staff

Platelets (thrombocytes) are small pieces of cells that play an important role in blood clotting by clumping and forming plugs when necessary. Thrombocytopenia (throm-boe-sie-toe-PEE-nee-uh) is a condition in which blood doesn't clot properly because there aren't enough platelets.

Causes of thrombocytopenia include increased breakdown and destruction of platelets (related to a problem with the immune system), reduced production of platelets or trapping of platelets in the spleen.

Thrombocytopenia can occur as a result of another condition or disorder, such as disseminated intravascular coagulation or DIC (blood clotting problem), leukemia, lymphoma, bone marrow failure (aplastic anemia), an immune system problem, some viruses or certain genetic conditions. It can also occur from sepsis, which is a potentially life-threatening complication of an infection, or as a medication side effect or from exposure to certain toxic chemicals.

The most common reason for thrombocytopenia in children is idiopathic thrombocytopenic purpura (ITP), also called immune system thrombocytopenia. Idiopathic means unknown cause.

ITP occurs when the immune system mistakenly attacks and destroys platelets. Recent viral infections can lead to short-term ITP in children. If ITP in children lasts longer than six months, it's known as chronic ITP.

  • Expertise and team approach. Your team of experts may include pediatric hematologists, pediatric pathologists, pediatric infectious disease specialists, pediatric surgeons and immunologists who work together to provide accurate diagnosis and exceptional care for your child and support for your family.
  • Experience. Pediatric hematology specialists at Mayo have extensive experience in diagnosing and treating both common and unusual causes of thrombocytopenia. If it's caused by a bone marrow failure syndrome such as aplastic anemia, treatment might involve a bone marrow transplant or immunosuppressive therapy by experienced Mayo Clinic specialists. Mayo Eugenio Litta Children's Hospital provides family-friendly, state-of-the art inpatient care.
  • Newest technology. Specialists at Mayo Clinic make use of the newest technology to improve chances for positive outcomes. Effective treatment of pediatric thrombocytopenia is tailored to the specific cause of the low platelets. At Mayo, complex diagnostic tools are available to identify unusual causes of low platelets.

Mayo Clinic works with hundreds of insurance companies and is an in-network provider for millions of people. In most cases, Mayo Clinic doesn't require a physician referral. Some insurers require referrals or may have additional requirements for certain medical care. All appointments are prioritized on the basis of medical need.

For information on how to make an appointment at Mayo Clinic Children's Center:

  • Please call 855-MAYO-KID (855-629-6543) toll-free 7 a.m. to 6 p.m. Central time, Monday through Friday.
  • Or complete an online appointment form below.

See information on patient services at the three Mayo Clinic locations, including transportation options and lodging.

See a list of publications by Mayo doctors on thrombocytopenia on PubMed, a service of the National Library of Medicine.

May 29, 2014