Successful treatment of pediatric immune thrombocytopenic purpura associated with ulcerative colitis

Successful treatment of pediatric immune thrombocytopenic purpura associated with ulcerative colitis
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DOI:
10.1111/j.1442-200x.2010.03308.x
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发表时间:
2011-10-01
影响因子:
1.4
通讯作者:
Kondo, Naomi
Kondo, Naomi
中科院分区:
医学4区
文献类型:
--
作者:
Funato, Michinori;Fukao, Toshiyuki;Kondo, Naomi

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讨论我们描述了一例罕见的ITP合并UC,患者为12岁女孩。我们的病人由于贫血、便血和紫癜性疾病的不典型症状,诊断很困难。此外,出血倾向使她在没有详细检查的情况下更难诊断。因此,我们最初排除了继发性血小板减少症,包括药物、病毒感染和DIC的不良反应。根据她的临床病程,我们最终确认她患有ITP
DiscussionWe have described a rare case of ITP associated with UC in a 12-year-old girl. The diagnosis of our patient was difficult due to her atypical condition with regard to anemia, hematochezia, and purpura. In addition, the hemorrhagic tendency made it more difficult to diagnose her without a detailed examination. Hence, we initially excluded secondary thrombocytopenia, including the adverse effects of drugs, viral infection, and DIC. We finally confirmed that she had ITP on the basis of her clinical course and