一名患有特发性血小板减少性紫癜的患者出现急性缺血性卒中。
A patient with idiopathic thrombocytopenic purpura presenting with an acute ischemic stroke.
作者信息
Theeler Brett J, Ney John P
机构信息
Madigan Army Medical Center, Department of Neurology, Tacoma, Washington 98431, USA.
出版信息
J Stroke Cerebrovasc Dis. 2008 Jul-Aug;17(4):244-5. doi: 10.1016/j.jstrokecerebrovasdis.2008.01.014.
We report a 63 year-old man with an acute right occipital lobe infarction coincident with idiopathic thrombocytopenic purpura. The patient's thrombocytopenia responded to steroids and intravenous immune globulin with no further cerebrovascular complications. We suggest that ITP-induced platelet microparticles contributed to our patient's stroke. Proper management of acute ischemic stroke in the setting of idiopathic thrombocytopenic purpura is unclear.
我们报告了一名63岁男性，患有急性右枕叶梗死，同时伴有特发性血小板减少性紫癜。患者的血小板减少症对类固醇和静脉注射免疫球蛋白有反应，未出现进一步的脑血管并发症。我们认为，特发性血小板减少性紫癜诱导产生的血小板微粒导致了我们这位患者的中风。在特发性血小板减少性紫癜背景下，急性缺血性中风的恰当管理尚不清楚。
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