Hill Larisa J N, Tung Ericka E
Mayo Medical School, Rochester, Minnesota, USA.
The Division of Primary Care Internal Medicine, Mayo Clinic College of Medicine, Rochester, Minnesota, USA.
BMJ Case Rep. 2014 Jul 17;2014:bcr2014205786. doi: 10.1136/bcr-2014-205786.
A 54-year-old woman was seen by her primary care internist for a general health maintenance visit. Her major chronic illness was immune thrombocytopenic purpura (ITP) for which she had been treated with prednisone therapy for the past 15 years. Recent review of possible aetiologies of her chronic thrombocytopenia revealed infection with Helicobacter pylori. Successful eradication resulted in complete resolution of her thrombocytopenia within 2 months. She was weaned from steroid therapy and at 1-year follow-up, her platelet counts remained in the normal range. This case report summarises what is known about the association of H. pylori infection and ITP.
一位54岁女性因进行常规健康检查就诊于其初级保健内科医生处。她的主要慢性病是免疫性血小板减少性紫癜（ITP），在过去15年中一直接受泼尼松治疗。最近对其慢性血小板减少症可能病因的检查发现感染了幽门螺杆菌。成功根除幽门螺杆菌后，她的血小板减少症在2个月内完全缓解。她逐渐停用了类固醇治疗，在1年的随访中，她的血小板计数仍保持在正常范围内。本病例报告总结了关于幽门螺杆菌感染与ITP关联的已知情况。
