免疫性血小板减少症：一种罕见的结核病表现形式。

Immune thrombocytopenia: a rare presenting manifestation of tuberculosis.

作者信息

Ghobrial M W, Albornoz M A

机构信息

Mercy Catholic Medical Center, Darby, Pennsylvania, USA.

出版信息

Am J Hematol. 2001 Jun;67(2):139-43. doi: 10.1002/ajh.1093.

DOI:10.1002/ajh.1093

PMID:11343388

Abstract

We report the case of a 49 year-old male who presented with immune thrombocytopenia (ITP)-induced epistaxis and generalized purpura. During the same hospitalization the patient was also found to have clinical, microbiological, histological, and roentgenographic evidence of disseminated mycobacterial tuberculosis (TB). The hematological and infectious abnormalities, which did not respond to high-dose intravenous corticosteroids and immune globulin (IVIg), resolved after anti-tuberculous treatment. Herein we review the characteristics of this rarely documented association.

摘要

我们报告了一例49岁男性患者，其因免疫性血小板减少症（ITP）诱发鼻出血和全身性紫癜。在同一住院期间，还发现该患者有播散性分枝杆菌结核病（TB）的临床、微生物学、组织学及影像学证据。血液学和感染异常对大剂量静脉注射皮质类固醇和免疫球蛋白（IVIg）均无反应，经抗结核治疗后得以缓解。在此，我们回顾这种鲜有文献记载的关联的特征。