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Acute idiopathic thrombocytopenic purpura complicated with diffuse alveolar hemorrhage in an elderly patient. 2009
Michihiro Uchiyama, and
Aritoshi Hattori, and
Teppei Tanaka, and
Takashi Miyaji, and
Yasunori Matsuki, and
Tatsuya Fujii, and
Toshio Ichiwata, and
Takuya Hayashi, and
Takashi Ikeda
Department of Medicine, Mishuku Hospital, Tokyo. mi.uchiyama@scchr.jp
Idiopathic thrombocytopenic purpura (ITP) is a hemorrhagic disease that often occurs in the elderly. It generally presents as a chronic disease with insidious onset, and is frequently resistant to various therapies. Compared to patients less than 40 years old, those older than 60 years tend to show a higher rate of ITP-related mortality. The present report describes a 73-year-old patient with acute ITP who experienced diffuse alveolar hemorrhage that responded well to high-dose intravenous immunoglobulin therapy combined with corticosteroid pulse therapy.
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