Lee Anselm C W, Li C H, Wong L M
Department of Paediatrics, Tuen Mun Hospital, New Territories, Hong Kong, China.
Pediatr Hematol Oncol. 2003 Jan-Feb;20(1):39-42.
The authors report a case of thrombocytopenia in a 10-year-old Chinese girl who was also found to have Graves disease 6 months later. The clinical, hematologic, and bone marrow features were indistinguishable from chronic idiopathic thrombocytopenic purpura, but the patient's platelet counts were normalized concurrently with the control of thyrotoxicosis with carbimazole treatment. Childhood thrombocytopenia associated with autoimmune thyroid disease is a rarely reported condition and its management differs from that of idiopathic thrombocytopenic purpura.
作者报告了一名10岁中国女孩血小板减少症的病例，6个月后该女孩还被诊断出患有格雷夫斯病。其临床、血液学和骨髓特征与慢性特发性血小板减少性紫癜无法区分，但在使用卡比马唑治疗控制甲状腺毒症的同时，患者的血小板计数恢复正常。儿童期血小板减少症与自身免疫性甲状腺疾病相关是一种鲜有报道的病症，其治疗方法与特发性血小板减少性紫癜不同。
