儿科血小板减少的非典型病例

Elisa Bartolini , Giuseppe Indolfi , Daniele Serranti , Anna Fedi , Massimo Resti
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引用次数: 0

摘要

儿童血小板减少最常见的原因是免疫性(特发性)血小板减少性紫癜(ITP),通常是一种急性自限性疾病。血小板减少可能是门静脉血栓形成等非血液学疾病的第一个症状。血小板减少、瘀点和瘀伤可能是儿童典型ITP和PVT的三重表现。腹部多普勒超声检查是诊断儿童门静脉阻塞的最佳方法。既往脐带血管系统损伤史应指导PVT的诊断。
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Un caso atipico di piastrinopenia in età pediatrica

The most common cause of thrombocytopenia in children is Immune (idiopathic) thrombocytopenic purpura (ITP), usually an acute selflimiting disease. Thrombocytopenia can be the first sign of non-haematological disorders such as portal vein thrombosis (PVT). Thrombocytopenia, petechiae and bruising can be the triad of presentation of both typical ITP and PVT in children. The appropriate diagnostic exam for detection of portal vein obstruction in children is abdominal Doppler ultrasonography. Past medical history of injury to the umbilical vascular system should guide the diagnosis of PVT.

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