鼻出血为急性特发性血小板减少性紫癜的先兆1例。

IF 0.4 Q4 OTORHINOLARYNGOLOGY Case Reports in Otolaryngology Pub Date : 2021-02-06 eCollection Date: 2021-01-01 DOI:10.1155/2021/6612939
Shori Tajima, Fumihiko Matsumoto, Takashi Anzai, Satoshi Hara, Yo Suzuki, Katsuhisa Ikeda
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引用次数: 1

摘要

特发性血小板减少性紫癜(ITP)是一种获得性血小板减少症,由自身抗体对血小板抗原的作用引起。传统的定义是血小板计数小于10 × 104/μL。大多数ITP患者无症状;然而,在某些情况下,症状已得到证实。相反,很少发现鼻出血是ITP的第一个征兆。我们报告的情况下,84岁的男子谁来到耳鼻喉部严重和反复鼻出血。我们决定让他住院治疗,因为鼻血很难止住。全血细胞计数显示血小板水平仅为1000/μL。血液学结果证实ITP的诊断。患者接受静脉注射γ -球蛋白、血小板输注和罗米普罗stim治疗,反应良好。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

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A Case of Epistaxis as the First Sign of Acute Idiopathic Thrombocytopenic Purpura.

Idiopathic thrombocytopenic purpura (ITP) is an acquired thrombocytopenia caused by the action of autoantibodies against platelet antigens. It is traditionally defined by a platelet count of less than 10 × 104/μL. Most patients with ITP are asymptomatic; however, symptoms have been confirmed in some cases. Conversely, it is very rare to find epistaxis as the first sign of ITP. We report the case of an 84-year-old man who came to the ear, nose, and throat department with severe and repeated epistaxis. We decided to keep him hospitalized as it was very difficult to stop the nasal bleeding. A full blood count showed a platelet level of only 1000/μL. Hematologic results confirmed the diagnosis of ITP. The patient underwent treatment with intravenous gamma-globulin, platelet transfusions, and romiplostim with a favorable response.

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来源期刊
Case Reports in Otolaryngology
Case Reports in Otolaryngology OTORHINOLARYNGOLOGY-
自引率
0.00%
发文量
20
审稿时长
13 weeks
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