Spontaneous Peritoneal Hemorrhage and Anemia: A Rare Case Report of Immune Thrombocytopenic Purpura.

Autor:	Almeida DM; Pediatrics, Hospital Distrital da Figueira da Foz, Unidade Local de Saúde do Baixo Mondego, Figueira da Foz, PRT.; Clinical Hematology, Unidade Local de Saúde de Coimbra, Coimbra, PRT., Silva D; Clinical Hematology, Unidade Local de Saúde de Coimbra, Coimbra, PRT., Henriques M; Hematology and Medical Oncology, Unidade Local de Saúde de São João, Porto, PRT.; Clinical Hematology, Unidade Local de Saúde de Coimbra, Coimbra, PRT., Costa RC; Pediatrics, Unidade Local de Saúde de Coimbra, Coimbra, PRT.; Clinical Hematology, Unidade Local de Saúde de Coimbra, Coimbra, PRT., Azevedo J; Clinical Hematology, Unidade Local de Saúde de Coimbra, Coimbra, PRT.
Jazyk:	angličtina
Zdroj:	Cureus [Cureus] 2024 Jul 15; Vol. 16 (7), pp. e64602. Date of Electronic Publication: 2024 Jul 15 (Print Publication: 2024).
DOI:	10.7759/cureus.64602
Abstrakt:	Immune thrombocytopenia (ITP) is characterized by isolated thrombocytopenia manifesting with mucocutaneous bleeding symptoms, generally mild to moderate. The presence of severe symptoms or complications is rare but can be life-threatening and should be promptly diagnosed and treated. We present the case of a 14-year-old female presenting with abdominal tenderness and signs of peritoneal irritation and found to exhibit petechial rash in the buccal mucosa, scant petechiae, and superficial ecchymosis in both arms and legs on physical examination. Laboratory evaluation revealed severe thrombocytopenia and normocytic anemia. Abdominal ultrasound showed a significant peritoneal hematic effusion. The diagnosis of ITP with spontaneous peritoneal hemorrhage was made, and she was treated with intravenous immunoglobulin (IVIG) and antibiotic therapy, as well as one packed red blood cell transfusion because of worsened anemia on re-evaluation. A gradual rise in platelet count and hemoglobin was observed, as well as a gradual resolution of the peritoneal hemorrhage, with no further therapy. Competing Interests: Human subjects: Consent was obtained or waived by all participants in this study. Conflicts of interest: In compliance with the ICMJE uniform disclosure form, all authors declare the following: Payment/services info: All authors have declared that no financial support was received from any organization for the submitted work. Financial relationships: All authors have declared that they have no financial relationships at present or within the previous three years with any organizations that might have an interest in the submitted work. Other relationships: All authors have declared that there are no other relationships or activities that could appear to have influenced the submitted work. (Copyright © 2024, Almeida et al.)
Databáze:	MEDLINE
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