Servizio di Immunoematologia e Medicina Trasfusionale, Dipartimento di Patologia e Medicina di Laboratorio, Azienda Ospedaliero-Universitaria di Parma, Italy.
Adv Clin Chem. 2010;52:131-44. doi: 10.1016/s0065-2423(10)52005-5.
Idiopathic thrombocytopenic purpura (ITP) is a common autoimmune disease mediated by autoantibodies against platelet glycoproteins. This hemorrhagic disorder may be primary or secondary to various illnesses, including lymphoproliferative, autoimmune, or infectious diseases. Among the latter causes, there is increasing laboratory and clinical evidence that documents a pathogenic role of Helicobacter pylori infection in ITP. The aim of this review is to analyze the current knowledge on the pathogenic, diagnostic, clinical, and therapeutic characteristics of H. pylori-associated ITP.
特发性血小板减少性紫癜(ITP)是一种常见的自身免疫性疾病,由针对血小板糖蛋白的自身抗体介导。这种出血性疾病可能是原发性的,也可能是继发于各种疾病,包括淋巴增生性、自身免疫性或感染性疾病。在后一类病因中,越来越多的实验室和临床证据表明,幽门螺杆菌感染在 ITP 中起致病作用。本综述的目的是分析目前关于幽门螺杆菌相关 ITP 的发病机制、诊断、临床和治疗特征的知识。