Naithani Rahul, Kumar Rajat, Mahapatra M, Agrawal Neerja, Pati H P, Choudhry V P
Department of Hematology, All India Institute of Medical Sciences, New Delhi, India.
Pediatr Hematol Oncol. 2007 Apr-May;24(3):205-7. doi: 10.1080/08880010701198845.
Two children with suspected ITP are described. One child was treated outside with corticosteroids and was diagnosed acute lymphoblastic leukemia. Another child was fresh and diagnosed as acute myeloid leukemia on bone marrow aspirate examination. Both the children had no physical or peripheral smear finding suggestive of leukemia. We suggest that a bone marrow examination is required in developing countries for evaluation of thrombocytopenia before labeling it an immune thrombocytopenic purpura.
本文描述了两名疑似免疫性血小板减少症（ITP）的儿童。一名儿童在院外接受了皮质类固醇治疗，后被诊断为急性淋巴细胞白血病。另一名儿童初诊时经骨髓穿刺检查被诊断为急性髓系白血病。这两名儿童均无提示白血病的体格检查或外周血涂片表现。我们建议，在发展中国家，对于血小板减少症患者，在诊断为免疫性血小板减少性紫癜之前，需要进行骨髓检查以评估病情。
