Acute thrombocytopenic purpura complicating rubella
| Autor: | John M. Wilson, Harold S. Ginsberg |
|---|---|
| Rok vydání: | 2010 |
| Předmět: |
medicine.medical_specialty
Pediatrics business.industry medicine.medical_treatment Splenectomy General Medicine medicine.disease Rubella Measles Thrombocytopenic purpura Rash Surgery Purpura Prolonged bleeding time Purpura Thrombocytopenic hemic and lymphatic diseases medicine Tourniquet test Humans medicine.symptom business |
| Zdroj: | The American journal of medicine. 3(5) |
| ISSN: | 0002-9343 |
| Popis: | 1.1. Two cases of thrombocytopenic purpura complicating rubella are reported. In Case I the purpura was noted the third day after the onset of the illness and about thirty-six hours after the disappearance of the rash of German measles. In Case II the purpura appeared on the fourth day of illness and at a time when the primary rash had almost completely disappeared. 2.2. Platelet counts and tourniquet tests were performed on eleven consecutive patients with rubella, three of whom revealed an initial lowering of the platelets. One of these patients had a moderate thrombocytopenia, a markedly positive tourniquet test and a prolonged bleeding time. 3.3. The theoretical mechanisms of this phenomenon were discussed. 4.4. The treatment of thrombocytopenic purpura complicating acute infections should be directed toward controlling the hemorrhages and treating the resulting anemia. Recovery occurs spontaneously within a few days in most instances, and splenectomy is probably never necessary. |
| Databáze: | OpenAIRE |
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