Look what I saw today. Whilst reported enough in the literature, it’s actually rather obscure. And then I had a worry…
Platelet clumping is common, and is widely recognised as a cause of thrombocytopenia. Could platelet satellitism be a similar cause of thrombocytopenia, albeit a more obscure one.
But then, if the (apparent) thrombocytopenia is relevant, we would look at a blood film anyway, and if the satellitism is especially marked, then this would stuff the optical properties of the neutrophil and again prompt scrutiny of a blood film. Either way the problem would be spotted.
On reflection I don’t think there’s grounds for concern….