Blanchette M, Freedman J
Transfusion Medicine, St Michael's Hospital, Toronto, ON, Canada.
Transfus Sci. 1998 Sep;19(3):231-6. doi: 10.1016/s0955-3886(98)00036-8.
Purpura, initially recognized in ancient times, was defined into clinical syndromes in the 16th, 17th and 18th centuries. With advances in microscope science in the nineteenth century, the platelet was identified, leading to the recognition of the thrombocytopenic component of idiopathic thrombocytopenic purpura (ITP). The 20th century brought recognition of the pathophysiology of the disorder and the clinical states were refined and treatments for ITP developed. The latter half of the 20th century has focused on the autoimmune components of ITP, attempting to develop diagnostic tests, apply new therapies, and elucidate the immune dysregulation associated with, and underlying, the disorder.
紫癜最初在古代就被认识到,在16、17和18世纪被定义为临床综合征。随着19世纪显微镜科学的进步,血小板被识别出来,这使得人们认识到特发性血小板减少性紫癜(ITP)的血小板减少成分。20世纪人们认识到了该疾病的病理生理学,临床状态得到了细化,ITP的治疗方法也得以发展。20世纪后半叶专注于ITP的自身免疫成分,试图开发诊断测试、应用新疗法,并阐明与该疾病相关及潜在的免疫失调。