Bakhshi Sameer, Kabra Madhulika, Iyer Venkaleswaran K, Arya L S
Department of Pediatrics, All India Institute of Medical Sciences, New Delhi, India.
Indian J Pediatr. 2003 Dec;70(12):993-4. doi: 10.1007/BF02723827.
A 11-year-old girl presented with thrombocytopenic purpura along with cervical lymphadenopathy. There was no hepatosplenomegaly; no evidence of microangiopathy; bone marrow examination was normal. Acid fast bacilli were seen in fine needle aspiration cytology of the lymph node. A diagnosis of tubercular lymphadenitis in association with immune thrombocytopenia was made, and the platelet count recovered with antitubercular therapy. This report illustrates immune thrombocytopenia as a rare manifestation of childhood tuberculosis; the authors also discuss other causes of thrombocytopenia in childhood tuberculosis.
一名11岁女孩出现血小板减少性紫癜并伴有颈部淋巴结病。无肝脾肿大；无微血管病变证据；骨髓检查正常。在淋巴结细针穿刺细胞学检查中发现抗酸杆菌。诊断为结核性淋巴结炎合并免疫性血小板减少症，抗结核治疗后血小板计数恢复。本报告说明了免疫性血小板减少症是儿童结核病的一种罕见表现；作者还讨论了儿童结核病中血小板减少的其他原因。
