Thrombocytopenic purpura occasionally occurs in patients with infectious disease.
Mumps developing after thrombocytopenic purpura is very rare, in contrast to measles, rubella, and infectious mononucleosis.
This report describes a case of thrombocytopenic purpura occurring after mumps.
A 6-year-old boy visited our hospital because of severe bleeding in the oral cavity. Although bleeding occurred the day before presentation, it stopped within the same day. On the next day, bleeding recurred. Physical examination confirned bleeding in the oral cavity and some purpura on the back, abdomen and neck. The platelet count was 0.4×10
4/μl. The bleeding time was prolonged, but the coagulation time was normal. No antiplatelet antibodies were found. The patient had had mumps about 30 days previously, and the mumps antibody titer was 1/128.
The diagnosis was thrombocytopenic purpura occurring after mumps, and steroid therapy was given. Fourteen days later, the platelet count returned to nomal, and the bleeding and purpura resolved.
抄録全体を表示