medigraphic.com
SPANISH

Revista Médica de Costa Rica y Centroamérica

Colegio de Medicos y Cirujanos República de Costa Rica
  • Contents
  • View Archive
  • Information
    • General Information        
    • Directory
  • Publish
    • Instructions for authors        
  • medigraphic.com
    • Home
    • Journals index            
    • Register / Login
  • Mi perfil

2008, Number 582

<< Back Next >>

Rev Med Cos Cen 2008; 65 (582)

Purpura trombocitopenica autoinmune

Sequeira RLA
Full text How to cite this article

Language: Spanish
References: 8
Page: 9-13
PDF size: 146.10 Kb.


Key words:

No keywords

ABSTRACT

The ITP is a blood illness, characterize by Thrombocytopenic, and it variability intense level. It can produced in health people, but in children has been associated to viral infection, or bacterial infection. You can look from equimosis, petequias until important bleeding in differents systems like gastrointestinal, genitourinary, and nervous systems. This hematological disorder can be associated with eritematoso systemic lupus, and others disorders. The diagnosis always needs clinical history, physical exam; and laboratories tests, like pheriferical frotis blood; aspire bone; IgG antiplaquetelets auto antibodies. The corticosteroid treatment for shorts periods of time and decrease dosages, keeps remitions until 75 % of the cases; and splenectomy, alone or together, is the best treatment for this disorder; on others hands you can use inmunosupresion.


REFERENCES

  1. C. Soler — Argilaga. El Manual Merck de Diagnóstico y Terapéutica. Ediciones Doyma. 8a edición. 1989. Pág.: 1289- 1291.

  2. Cheng, Yunfeng, Wong, Raymond S. M; Soo, Yannie O. Y: Chui, Chung Hin, Lau, Fung Yi, Chan, Natalie P. H; Wong, Wai Shan, Cheng, Gregory. Initial Treatment of lmmune Thrombocytopenic Purpura with High — Dose Dexamethasone. N EngI J Med 2003 349: 831—836.

  3. David T. Finkede; Rodney J. Hicks; Max Wolf; Michael A. Herderson. Handheld Gamma Probe Localization of Accessory Splenic Tissue in Recurrent Idiopathic Thrombocytopenic Purpura. Arch Surg 2000. 135: 1112— 1113.

  4. Ewald Gregory A, Mc Kenzie Clark R. Manual de Terapéutica Médica. Masson — Little, Brown. 9a Edición. 1996. Pag: 453—456, 458 —459.

  5. Harrison. Principios de Medicina Interna. McGraw HilI. 15a Edición, Vol. 1. Pág.: 882-884.

  6. Kiarash Kojouri, Sara K. Vessely, Deirdra R. Terrell, and James N. George. Splenectomy for adult patients with idiopatic thrombocytopenic purpura: a systematic review to assess long — term platelet count responses, prediction of response, and surgical complications. Blood 104: 2623 — 2634; prepublished online as DOI 10). 1182 / blood —2004—03— 1168.

  7. R. R. Carroll; W. D. Noyes; C. S. Kitchens. High — dose intravenous imnunoglobulin therapy in patients with immune thrombocytopenic purpura. JAMA. 1983. 249: 1748— 1750.

  8. Robert Mc Millan, and Carol Durette. Long — term outcomes in adults with chronic lTP after splenectomy failure. Blood 104: 956 — 960; prepublished online as DOl 10.1182 / blood – 2003 – 11 – 3908.




2020     |     www.medigraphic.com

Mi perfil

C?MO CITAR (Vancouver)

Rev Med Cos Cen. 2008;65