免疫性血小板减少性紫癜患者的脊髓梗死。

Spinal Cord Infarction in a Patient with Immune Thrombocytopenic Purpura.

机构信息

Department of Neurology, Japanese Red Cross Medical Center, Tokyo, Japan.

Department of Hematology, Japanese Red Cross Medical Center, Tokyo, Japan.

出版信息

J Stroke Cerebrovasc Dis. 2021 Apr;30(4):105637. doi: 10.1016/j.jstrokecerebrovasdis.2021.105637. Epub 2021 Jan 25.

DOI:10.1016/j.jstrokecerebrovasdis.2021.105637

PMID:33508727

Abstract

Immune thrombocytopenic purpura (ITP) can increase the risk of not only hemorrhagic incidents but also thrombotic events. Although several patients with ITP who developed cerebral infarction have been reported, concurrence of spinal cord infarction and ITP has not been reported. We report the case of a female patient who developed spinal cord infarction during the exacerbation of her ITP. This case suggests a possible association between spinal cord infarction and ITP, which can cause paradoxical thrombosis.

摘要

免疫性血小板减少性紫癜（ITP）不仅会增加出血事件的风险，还会增加血栓事件的风险。尽管已有报道称一些患有 ITP 的患者发生了脑梗死，但 ITP 并发脊髓梗死尚未见报道。我们报告了一例女性患者，在 ITP 加重期间发生了脊髓梗死。该病例提示脊髓梗死和 ITP 之间可能存在关联，这种关联可能导致反常性血栓形成。