Yonsei University Wonju College of Medicine, Department of Laboratory Medicine, Wonju, Korea.
Yonsei University Wonju College of Medicine, Department of Neurology, Wonju, Korea.
Turk J Haematol. 2014 Jun;31(2):184-7. doi: 10.4274/tjh.2013.0064. Epub 2014 Jun 10.
A 46-year-old female presented to the emergency room due to the chief complaint of left-sided weakness. By imaging study, she was diagnosed with cerebral infarction. Thrombolytic and antiplatelet agents were not considered due to the "golden hour" for treatment having passed and a low platelet count. The peripheral blood smear, bone marrow biopsy, and aspirate findings were consistent with immune thrombocytopenic purpura. The chromosome analysis revealed the 47,XXX karyotype. To the best of our knowledge, this is the first case report associated with the comorbidities of cerebral infarction, idiopathic thrombocytopenic purpura, and triple X syndrome.
一位 46 岁女性因左侧无力为主诉就诊于急诊。通过影像学检查,她被诊断为脑梗死。由于已错过治疗的“黄金时间”且血小板计数较低,溶栓和抗血小板药物未被考虑。外周血涂片、骨髓活检和抽吸结果与免疫性血小板减少性紫癜一致。染色体分析显示 47,XXX 核型。据我们所知,这是首例与脑梗死、特发性血小板减少性紫癜和三 X 综合征合并存在相关的病例报告。