Ramachandran Lintu, Baloch Luqman, Djirdeh Taha Mohamed, Sidhu Yadwinder, Gentile Nicole, Affinati Mario
Department of Internal Medicine, Mercyhealth, Rockford, Illinois.
Proc (Bayl Univ Med Cent). 2021 Sep 15;35(1):60-61. doi: 10.1080/08998280.2021.1973293. eCollection 2022.
Immune thrombocytopenic purpura is a disorder characterized by decreased platelet count that may be secondary to infectious or autoimmune etiologies. We present a patient with upper gastrointestinal bleeding complicated by severe thrombocytopenia. Endoscopy revealed gastritis with pathology positive for . Platelet count normalized after triple antibiotic therapy. The precise mechanism by which causes immune thrombocytopenic purpura remains unclear; however, there are several plausible mechanisms. This case highlights the importance of keeping in the differential in patients presenting with thrombocytopenia.
免疫性血小板减少性紫癜是一种以血小板计数减少为特征的疾病，其可能继发于感染性或自身免疫性病因。我们报告一名患有上消化道出血并伴有严重血小板减少症的患者。内镜检查显示胃炎，病理检查呈阳性。三联抗生素治疗后血小板计数恢复正常。导致免疫性血小板减少性紫癜的确切机制尚不清楚；然而，有几种合理的机制。该病例强调了在血小板减少症患者的鉴别诊断中考虑[此处原文缺失关键信息]的重要性。
