2008, Number 582
Purpura trombocitopenica autoinmune
Sequeira RLA
Language: Spanish
References: 8
Page: 9-13
PDF size: 146.10 Kb.
ABSTRACT
The ITP is a blood illness, characterize by Thrombocytopenic, and it variability intense level. It can produced in health people, but in children has been associated to viral infection, or bacterial infection. You can look from equimosis, petequias until important bleeding in differents systems like gastrointestinal, genitourinary, and nervous systems. This hematological disorder can be associated with eritematoso systemic lupus, and others disorders. The diagnosis always needs clinical history, physical exam; and laboratories tests, like pheriferical frotis blood; aspire bone; IgG antiplaquetelets auto antibodies. The corticosteroid treatment for shorts periods of time and decrease dosages, keeps remitions until 75 % of the cases; and splenectomy, alone or together, is the best treatment for this disorder; on others hands you can use inmunosupresion.REFERENCES
Kiarash Kojouri, Sara K. Vessely, Deirdra R. Terrell, and James N. George. Splenectomy for adult patients with idiopatic thrombocytopenic purpura: a systematic review to assess long — term platelet count responses, prediction of response, and surgical complications. Blood 104: 2623 — 2634; prepublished online as DOI 10). 1182 / blood —2004—03— 1168.