Varma Adarsh, Spier Bret J, Pfau Patrick R, Safdar Nasia
University of Wisconsin Hospitals and Clinics, Department of Internal Medicine, USA.
WMJ. 2009 Dec;108(9):459-61.
Metastatic pancreatic adenocarcinoma presenting with immune thrombocytopenic purpura is a very rare association. To date, only 1 case report found in the literature delineates such an association. We present a case of a patient with newly diagnosed, biopsy-proven metastatic pancreatic adenocarcinoma with new-onset immune thrombocytopenic purpura. The patient's platelet count returned to normal limits after being treated with oral corticosteroid therapy. In conclusion, immune thrombocytopenic purpura can be associated with metastatic pancreatic adenocarcinoma and responds well to corticosteroid therapy.
转移性胰腺腺癌伴免疫性血小板减少性紫癜是一种非常罕见的关联情况。迄今为止,文献中仅发现1例病例报告描述了这种关联。我们报告1例新诊断、经活检证实为转移性胰腺腺癌并伴有新发免疫性血小板减少性紫癜的患者。该患者经口服糖皮质激素治疗后血小板计数恢复至正常范围。总之,免疫性血小板减少性紫癜可与转移性胰腺腺癌相关,且对糖皮质激素治疗反应良好。