Management of Concurrent Immune Thrombocytopenia and Ulcerative Colitis: A Case Report and Literature Review

被引：0

作者：

Hirai, Masataka ^{[1
]}

Mori, Minako ^{[1
]}

Sakai, Tomomi ^{[1
]}

Oka, Tomomi ^{[1
]}

Watanabe, Yasuhiro ^{[1
,2
]}

Murata, Masaki ^{[2
]}

Moriyoshi, Koki ^{[3
]}

Kawabata, Hiroshi ^{[1
]}

机构：

[1] NHO Kyoto Med Ctr, Dept Hematol, Kyoto, Japan

[2] NHO Kyoto Med Ctr, Dept Gastroenterol, Kyoto, Japan

[3] NHO Kyoto Med Ctr, Dept Diagnost Pathol, Kyoto, Japan

来源：

INTERNAL MEDICINE | 2024年

关键词：

idiopathic thrombocytopenic purpura; immune thrombocytopenia; ulcerative colitis; mesalazine; INFLAMMATORY-BOWEL-DISEASE; PURPURA; COLECTOMY; GUIDELINES; PATIENT; ONSET;

D O I：

10.2169/internalmedicine.4424-24

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We herein report a case of concurrent immune thrombocytopenia (ITP) and ulcerative colitis (UC) that achieved remission following mesalazine treatment. A 16-year-old girl presented with severe thrombocytopenia, abdominal pain, and bloody stool. She was initially diagnosed with ITP and then was treated with prednisolone, resulting in an immediate improvement of symptoms. Upon tapering the steroids, the symptoms recurred, thus leading to a subsequent diagnosis of UC via colonoscopy. Treatment with mesalazine promptly induced the remission of both ITP and UC, which was sustained. We reviewed 24 previously documented cases in which the simultaneous flares of UC and ITP were successfully managed.

引用

页数：5

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