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与播散性结节病相关的自身免疫性血栓性血小板减少性紫癜:一例报告。

Autoimmune thrombotic thrombocytopenic purpura associated with disseminated sarcoidosis: A case report.

作者信息

Billotte Maxime, Eszto Peter, Thomas Benoît, Groizard Pierre, Perez Pierre, Campagne Julien

机构信息

Hôpital Robert Schuman Médecine Interne Vantoux France.

Réanimation Hôpital Robert Schuman Vantoux France.

出版信息

EJHaem. 2024 Feb 11;5(1):225-230. doi: 10.1002/jha2.848. eCollection 2024 Feb.

Abstract

Sarcoidosis is an inflammatory disease known to be associated with multiple autoimmune disorders. There is a restricted number of descriptions of the association between sarcoidosis and autoimmune thrombotic thrombocytopenic purpura (aTTP). We present the case of a 63-year-old woman admitted to the hospital to investigate a possible sarcoidosis who had hemolytic anemia and thrombocytopenia, with low ADAMTS13 activity and anti-ADAMTS13 antibodies, leading to a diagnosis of aTTP. Sarcoidosis was later confirmed and the two conditions evolved separately after 6 months, questioning the link between them. Clinicians should be aware of this rare cause of thrombocytopenia in patients with sarcoidosis, as aTTP is a life-threatening condition.

摘要

结节病是一种已知与多种自身免疫性疾病相关的炎症性疾病。关于结节病与自身免疫性血栓性血小板减少性紫癜(aTTP)之间关联的描述数量有限。我们报告了一例63岁女性患者,因可能患有结节病入院检查,该患者有溶血性贫血和血小板减少症,伴有低ADAMTS13活性和抗ADAMTS13抗体,最终诊断为aTTP。后来结节病得到确诊,6个月后这两种病症分别发展,这对它们之间的联系提出了质疑。临床医生应意识到结节病患者血小板减少症的这种罕见病因,因为aTTP是一种危及生命的疾病。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9660/10887253/25f3d7200b67/JHA2-5-225-g003.jpg

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