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Author: Al Argan, Reem J.; Al Elq, Abdulmohsen H.
Title: Tuberculosis-associated Immune Thrombocytopenia: A Case Report
  • Document date: 2018_8_14
  • ID: q9z0wb7j_4
    Snippet: The patient was initially diagnosed as ITP to rule out thrombocytopenia secondary to viral infection, systemic lupus erythematosus, antiphospholipid syndrome or lymphoproliferative disorders. Because of the initial severe thrombocytopenia, the patient was started on pulse steroid therapy in the form of methylprednisolone 1 g intravenously daily for 3 days followed by prednisone 1 mg/kg PO once daily along with intravenous immunoglobulin (IVIG) 1 .....
    Document: The patient was initially diagnosed as ITP to rule out thrombocytopenia secondary to viral infection, systemic lupus erythematosus, antiphospholipid syndrome or lymphoproliferative disorders. Because of the initial severe thrombocytopenia, the patient was started on pulse steroid therapy in the form of methylprednisolone 1 g intravenously daily for 3 days followed by prednisone 1 mg/kg PO once daily along with intravenous immunoglobulin (IVIG) 1 g/kg/day for 2 days. In addition, he received a total of 14 units of platelets in the first 3 days. On Day 6 of admission, platelet count rose to 20 × 10 9 /L, which then gradually increased to 57 × 10 9 /L on Day 13, 141 × 10 9 on Day 16 and it reached a maximum of 264 × 10 9 /L on Day 19, when the patient left the hospital against medical advice.

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