Surgery as a Recurrent Trigger for Immune Thrombocytopenia (ITP) in a Patient Cured of M7 Acute Myelogenous Leukemia
| Autor: | Nicholas Monfries, Sarah J. McKillop, Mark Belletrutti |
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| Rok vydání: | 2016 |
| Předmět: |
Male
0301 basic medicine medicine.medical_specialty Myeloid medicine.drug_class 03 medical and health sciences Myelogenous Postoperative Complications 0302 clinical medicine Adrenal Cortex Hormones Recurrence hemic and lymphatic diseases medicine Humans Platelet Child Dexamethasone Purpura Thrombocytopenic Idiopathic business.industry Myeloid leukemia Hematology medicine.disease Surgery Leukemia Myeloid Acute Leukemia Purpura 030104 developmental biology medicine.anatomical_structure Oncology 030220 oncology & carcinogenesis Pediatrics Perinatology and Child Health Corticosteroid medicine.symptom business medicine.drug |
| Zdroj: | Journal of Pediatric Hematology/Oncology. 38:e257-e259 |
| ISSN: | 1077-4114 |
| Popis: | We report the case of a 10-year-old boy, 8 years post-M7 acute myeloid leukemia with a history of significant thrombocytopenia and bleeding, requiring treatment, after 2 surgical procedures performed under general anesthesia. In both instances, the thrombocytopenia and bleeding responded to intravenous immunoglobulin treatment. Between surgeries, the platelet counts were normal. Before a third surgical procedure, he was successfully pretreated with dexamethasone and experienced no bleeding or thrombocytopenia after the operation. This case highlights the potential utility of corticosteroid pretreatment in patients with a history of immune thrombocytopenia before surgical procedures under general anesthesia. |
| Databáze: | OpenAIRE |
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