Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Acute Idiopathic Thrombocytopenic Purpura Complicated with Diffuse Alveolar Hemorrhage in an Elderly Patient
Michihiro UchiyamaAritoshi HattoriTeppei TanakaTakashi MiyajiYasunori MatsukiTatsuya FujiiToshio IchiwataTakuya HayashiTakashi Ikeda
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JOURNAL OPEN ACCESS

2009 Volume 48 Issue 16 Pages 1449-1452

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Abstract

Idiopathic thrombocytopenic purpura (ITP) is a hemorrhagic disease that often occurs in the elderly. It generally presents as a chronic disease with insidious onset, and is frequently resistant to various therapies. Compared to patients less than 40 years old, those older than 60 years tend to show a higher rate of ITP-related mortality. The present report describes a 73-year-old patient with acute ITP who experienced diffuse alveolar hemorrhage that responded well to high-dose intravenous immunoglobulin therapy combined with corticosteroid pulse therapy.

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© 2009 by The Japanese Society of Internal Medicine
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