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新型冠状病毒肺炎所致免疫性血小板减少症表现为月经过多的进展情况

The Development of Immune Thrombocytopenia Due to COVID-19 Presenting as Menorrhagia.

作者信息

Menakuru Sasmith R, Priscu Adelina, Dhillon Vijaypal S, Salih Ahmed

机构信息

Internal Medicine, Indiana University Health Ball Memorial Hospital, Muncie, USA.

出版信息

Cureus. 2022 Apr 15;14(4):e24160. doi: 10.7759/cureus.24160. eCollection 2022 Apr.

Abstract

Immune thrombocytopenia (ITP), also known as immune thrombocytopenic purpura, is a hematological disorder characterized by a decreased platelet count, predisposing patients to bleeding. Coronavirus disease 2019 (COVID-19) has been linked to multiple cases of newly diagnosed ITP and is usually found in moderate-to-severe infections, peaking in children and elderly adults. Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. Here, we report the case of a 23-year-old African American female who presented with the chief complaint of menorrhagia and was subsequently diagnosed as having ITP induced by an asymptomatic COVID-19 infection.

摘要

免疫性血小板减少症(ITP),也称为免疫性血小板减少性紫癜,是一种血液系统疾病,其特征为血小板计数减少,使患者易发生出血。2019冠状病毒病(COVID-19)已与多例新诊断的ITP病例相关联,且通常在中重度感染中出现,在儿童和老年人中达到高峰。月经过多是指月经周期正常但出血量异常增多或持续时间延长,或子宫出血持续超过七天的医学术语。在此,我们报告一例23岁非裔美国女性病例,该患者以月经过多为主诉就诊,随后被诊断为无症状COVID-19感染诱发的ITP。

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本文引用的文献

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Thrombocytopenia in Virus Infections.病毒感染中的血小板减少症
J Clin Med. 2021 Feb 20;10(4):877. doi: 10.3390/jcm10040877.
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Thrombocytopenia in the Course of COVID-19 Infection.新型冠状病毒肺炎感染过程中的血小板减少症
Eur J Case Rep Intern Med. 2020 May 7;7(6):001702. doi: 10.12890/2020_001702. eCollection 2020.
5
COVID-19 as a cause of immune thrombocytopenia.新型冠状病毒肺炎作为免疫性血小板减少症的一个病因
Med Mal Infect. 2020 Aug;50(5):459-460. doi: 10.1016/j.medmal.2020.05.003. Epub 2020 May 20.
8
How do we diagnose immune thrombocytopenia in 2018?2018 年如何诊断免疫性血小板减少症?
Hematology Am Soc Hematol Educ Program. 2018 Nov 30;2018(1):561-567. doi: 10.1182/asheducation-2018.1.561.
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Pathogenesis of immune thrombocytopenia.免疫性血小板减少症的发病机制。
Autoimmun Rev. 2017 Jun;16(6):620-632. doi: 10.1016/j.autrev.2017.04.012. Epub 2017 Apr 17.

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