The journal of the Japanese Practical Surgeon Society
Online ISSN : 2189-2075
Print ISSN : 0386-9776
ISSN-L : 0386-9776
TWO CASES OF GRAVES' DISEASE ASSOCIATED WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA
Yoshiyuki USUISumiji SASAKIJun MATSUBARAItaru NAGAHIRO
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1992 Volume 53 Issue 11 Pages 2645-2649

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Abstract
In a recent 11-year period, we had two cases of Graves' disease associated with idiopathic thrombocytopenic purpura (ITP) among ninety operated cases of Graves' disease. It is often pointed out that the diagnosis and treatment of Graves' disease associated with ITP are very difficult. In these 2 cases experienced, Graves's disease was preceded by ITP, and we had difficulties in controlling ITP. However, when the thyroid function was normalized by subtotal thyroidectomy, the platelet count increased.
To study the correlation between the thyroid function and white cell and platelet counts, the both counts were comparatively analized in patients with Graves' disease and those having a thyroid tumor. There was no statistical difference between them.
It is, however, concluded that subtotal thyroidectomy might be an effective procedure to normalize the thyroid function and to increase the platelet count subsequently in the patients with Graves' disease associated with ITP.
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© Japan Surgical Association
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