Your spouse’s persistent and recurrent low platelet count (thrombocytopenia), especially with multiple dengue episodes (2024, August 2025, and recent), combined with a significantly prolonged APTT of 85.2 seconds (normal usually 25–35 seconds), is concerning and not typical for simple dengue recovery. Dengue does cause platelet drop during acute phase, but: • Platelets usually recover within 7–14 days after fever subsides in uncomplicated cases. • Repeated dengue infections (especially secondary dengue) can cause more severe thrombocytopenia, but persistent low platelets months later + drastic recurrent drops + very prolonged APTT strongly suggest something beyond just dengue sequelae. The prolonged APTT indicates a coagulation abnormality — likely deficiency or inhibitor in the intrinsic pathway (factors VIII, IX, XI, XII, or lupus anticoagulant / antiphospholipid antibodies). This is not normal post-dengue and raises red flags for: • Antiphospholipid syndrome (APS) — common cause of prolonged APTT + thrombocytopenia + recurrent thrombosis risk (even without clots yet) • Immune thrombocytopenia (ITP) triggered or unmasked by dengue • Acquired factor deficiency (rare post-viral) • Liver dysfunction (mild subclinical — dengue can affect liver) — though LFT not shared • Vitamin K deficiency or DIC (less likely without bleeding/fever) The attached report appears to be an anti-cardiolipin antibody (aCL) test (IgG and IgM), but the values are not clearly readable in the image. It mentions “low/medium positive” in some units, which could support antiphospholipid syndrome if positive. This needs urgent clarification.

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The reason why still platelet counts are low might indicate some occult pathology which is going on and patient might be asymptomatic right now. Your reports show increased aPTT but the anticardiolipin is low positive which means it is not positive to currently diagnose the disease as APLA. So we need clinical history in terms of wasted pregnancies and other related autoimmune history to rule out autoimmune disorders like SLE. We do need other related lab workup which might include CBC, LFT, ANA, ANA profile, IPF(immature platelet fraction), DCT and other on the basis of these reports. You should get a CBC done monthly if your platelet count is above 50000. So you should consult and follow up as required

I think of some liver disease with bleeding clotting disorder.dengue is resolved. She deals with some coagulopathy .needs physician consultation.

The blood reports you sent show that in the blood there is an ‘Abnormal Protein’ that is affecting the bloods clotting system. Do the following, 1. Blood tests- CBP, ESR, KFT, Liver function test, Protein C, Protein S, Anti-Thrombin 3, Immunoglobulins, C3, C4, ANA, Anti-ds DNA, Anti-histone antibodies, Cryoglobulins, Rheumatoid factor, anti-CCP antibodies, Hepatitis B, Hepatitis C and HIV test 2. Urine - Mircoscopy and Albumin-Creatinine ratio 3. CT scan- chest, abdomen and pelvis 4. If any leg swelling- Doppler Ultrasound scan of the leg/s 5. If any history of headaches- MRI-V brain scan 6. See a Haematologist as she may need to be given blood thinning medication like Warfarin All the best. J G S R clinic

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Please provide detailed medical history and then I can help you.

Please consult for further management and evaluation.

Need further checkup

the reports look incomplete only the pt inr reports are there kindly consult can help you

Need a few more details please consult for further evaluation and treatment

Need proper history and evaluation for further suggestions Consult online Get routine test report

Can help you, kindly consult and provide detailed history for proper diagnosis and further management

Needs to be evaluated Do consult