title: [Immune thrombocytopenia in rectal cancer. Case report].
abstract: We report on a 72 year-old female patient, who presented with hemorrhagic purpura und rectal bleeding. A rectal carcinoma with local extension was confirmed by endoscopy. In addition the patient showed a considerable immune thrombocytopenia. Treatment with corticosteroids resulted in an increase in thrombocytes, but the steroids were discontinued because of diabetogenic side effects. Azathioprine had a transient effect on thrombocytopenia. The thrombocytes increased appreciably under intravenous application of gammaglobulin. The association between intestinal neoplasms and immune thrombocytopenia may be more frequent than assumed.
mesh_terms: D000368:Aged; D001379:Azathioprine / Q000627:therapeutic use; D001792:Blood Platelets / Q000187:drug effects; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D012004:Rectal Neoplasms / Q000150:complications / Q000276:immunology*; D013921:Thrombocytopenia / Q000150:complications / Q000188:drug therapy / Q000276:immunology*
chemical_list: D005938:Glucocorticoids; D001379:Azathioprine
vernacular_title: Immunthrombozytopenie bei einem Rektumkarzinom. Eine Kasuistik.