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Platelet/lymphocyte ratio (PLR)

The platelet/lymphocyte ratio is the ratio between the number of platelets and the number of lymphocytes in your blood. A shift in that ratio can point to acute inflammation or to a tendency of the blood to clot.[1]

On this page you can read what the platelet/lymphocyte ratio is, what the guidelines say about a value that is too low or too high, what affects your value and which values are best to read alongside it.

Also known as: PLR, platelet-to-lymphocyte ratio, platelet/lymphocyte ratio. At the lab: n/a.

In short

What is the platelet/lymphocyte ratio?

The platelet/lymphocyte ratio is not a single blood cell. It is a ratio between two counts from your blood count: the platelets and the lymphocytes.[1]

Researchers use this ratio as an inflammation marker. It shows how both counts shift with acute inflammation and with a tendency of the blood to clot.[1]

The ratio has been widely studied in serious conditions in which the immune system is suppressed and the blood clots more quickly.[1]

Why this ratio matters

Several large observational studies show that shifts in this ratio help estimate how severe inflammation throughout the body is. This concerns inflammatory diseases of the joints, muscles and immune system.[1]

In those inflammatory diseases, the shifts also help estimate whether additional conditions may develop.[1]

A high value together with a high platelet count can help a doctor recognise some forms of inflammation of the blood vessels, especially inflammation of the large arteries.[1]

What your platelet/lymphocyte ratio tells you

What Gasparyan and colleagues write

LevelCan point toWho it is for
Shifted[1]Acute inflammation or a tendency of the blood to clotDescribed as a general inflammation marker
Shifted[1]How severe inflammation throughout the body is and the risk of additional conditionsPeople with an inflammatory disease of the joints, muscles or immune system
High, together with a high platelet count[1]Some forms of inflammation of the blood vessels, especially of the large arteriesPeople in whom a doctor is investigating this kind of inflammation
Falling over time[1]A response to care that dampens inflammationPeople with an inflammatory disease of the joints or immune system, in a few long-term studies

Source: Gasparyan and colleagues, a review article on the platelet/lymphocyte ratio as an inflammation marker in inflammatory diseases of the joints, muscles and immune system. The source gives no fixed cut-off values.[1]

Platelet/lymphocyte ratio too high

A high value can point to acute inflammation or to a tendency of the blood to clot. Together with a high platelet count, it can help in recognising some forms of inflammation of the blood vessels. The source advises always reading the value together with other blood values.[1]

BioProfile is working on its own zones for each value, from risk to optimal. A doctor reviews those zones before they appear in your result.

What affects your platelet/lymphocyte ratio

Inflammation and clotting

With acute inflammation and with a tendency of the blood to clot, your platelet and lymphocyte counts shift. As a result, the ratio changes too.[1]

Care that curbs inflammation

A few long-term studies in inflammatory diseases of the joints and immune system saw the ratio fall during care that dampens inflammation. In this way, the value shows how it develops during care.[1]

The measurement itself

Errors before the blood is measured in the lab and differences in how labs measure can affect the result. According to the source, these are the biggest limitations of research into this value.[1]

Which BioProfile packages measure the platelet/lymphocyte ratio

The platelet/lymphocyte ratio is included in all five packages, from BioProfile 31 to BioProfile 150.[2]

Values that go with it

How this page was made

The BioProfile editorial team wrote this page on 23 October 2026 from the sources below, which we read on 23 October 2026. Every number on this page appears in one of those sources, with that source's number beside it. An expert has yet to review this page; after that review, the expert's name and the date of the review will appear at the top. This page offers explanation, not a diagnosis. Discuss a value outside the normal range with your GP.

Sources

  1. Gasparyan AY, Ayvazyan L, Mukanova U, et al. The Platelet-to-Lymphocyte Ratio as an Inflammatory Marker in Rheumatic Diseases. Ann Lab Med. 2019;39(4):345-357. https://pubmed.ncbi.nlm.nih.gov/30809980/
  2. BioProfile, the blood test packages and the values in each package. https://bioprofile.com/en/blood-testing/