Spivack M, Brenner S M, Markham M J, Snyder E L, Berkowitz D
Am J Med Sci. 1979 Sep-Oct;278(2):153-6.
Three patients presenting in a one-year period with coexisting carcinoma and presumed immune thrombocytopenia are the subject of this report. Review of the literature disclosed a paucity of previous reports of this association. Possible pathogenic mechanisms resulting in this association are discussed. All three patients responded to corticosteroids in usual doses used in treatment of chronic idiopathic thrombocytopenic purpura. The association of carcinoma with immune thrombocytopenia may be more common than has been previously appreciated.
本文报道了3例在1年期间出现并存癌和疑似免疫性血小板减少症的患者。文献回顾发现此前关于这种关联的报道很少。文中讨论了导致这种关联的可能致病机制。所有3例患者对治疗慢性特发性血小板减少性紫癜常用剂量的皮质类固醇均有反应。癌与免疫性血小板减少症的关联可能比之前认为的更为常见。
