Original Article Özgün Araştırma (3). As an inflammatory disease, mast cells, eosinophils, T lymphocytes, dendritic cells, macrophages and neutrophils may play a role in the pathogenesis of asthma (4,5). In vitro studies have shown that platelets also have an important role in inflammatory processes (6). When platelets are activated, increased surface receptor expression together with secretion of a variety of inflammatory molecules that contribute to the immune response and inflammation occur (7,8). Structural and volumetric changes in platelets may guide the differential INTRODuCTION Asthma is the most common chronic disease of the childhood (1). It affects about 300 million people in the world. According to the latest data on prevalence, cumulative asthma frequency varies between 13.7 and 15.3% in our country (2). Chest tightness, shortness of breath, repeated wheezing and cough are the important clinical features of asthma. These episodes are associated with variable airway narrowing and are usually reversed either spontaneously or with treatment ABSTRACT Objective: Asthma is a chronic inflammatory disease of the airways. Allergic inflammation is characterized by accumulation of various cells, particularly mast cells, eosinophils, T lymphocytes and platelets. We investigated whether changes in mean platelet volume (MPV), platelet distribution width (PDW), plateletcrit (PCT) and p-selectin levels of children with asthma during and at least 1 month after the attack can be used as a marker. Material and Methods: The study was performed in 40 children who suffered asthma attacks. Blood samples were taken for MPV, PDW, PCT, p-selectin, eosinophil and platelet values during and at least 1 month after the attack. Results: Mean platelet volume, PCT, and p-selectin levels were significantly lower at the time of the attack when compared to those at least 1 month after the attack. Conclusion: Our findings suggest that MPV and PCT, common parameters in routine practice, can be used to determine an asthma attack.