title: Refractory thrombocytopenia in a patient with systemic lupus erythematosus and prior immune thrombocytopenia, not responsive to an accessory splenectomy.
abstract: We report a patient with systemic lupus erythematosus (SLE) that was preceded by immune thrombocytopenia (ITP). She subsequently developed refractory thrombocytopenia. An accessory spleen was found and removed, however, she continued to have severe thrombocytopenia.
authors.affiliation: Department of Immunology, Rush Medical Center, Chicago, IL 60612.
authors.forename: N L
authors.initials: NL
authors.lastname: Kao
authors.forename: P K
authors.initials: PK
authors.lastname: Musto
authors.forename: G W
authors.initials: GW
authors.lastname: Richmond
mesh_terms: D001327:Autoimmune Diseases / Q000150:complications*; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000209:etiology*; D008875:Middle Aged; D012008:Recurrence; D013154:Spleen / Q000002:abnormalities; D013156:Splenectomy; D013921:Thrombocytopenia / Q000150:complications*