title: [Thrombocytopenic purpura after isolated or combined vaccination against measles, mumps and rubella].
abstract: A retrospective epidemiological survey was conducted to evaluate the incidence and characteristics of thrombocytopenic purpura (TP) reported in France following measles, mumps or rubella vaccination with monovalent or multivalent vaccines. Sixty cases of TP were reported i.e an incidence/100,000 doses of 0.23 and 0.17 for measles or rubella vaccines respectively given alone, to 0.87 for combined measles-rubella vaccine and 0.95 for MMR vaccine. The mean age was 21 +/- 12 months and the delay of diagnosis was 16 +/- 6 days after vaccination. Thrombopenia was severe (mean platelet count: 8000 +/- 6000/mm3) and always associated with purpura. The immediate outcome was favourable in 89.5 per cent of cases. Vaccine-associated TP appears to be similar to acute childhood idiopathic thrombocytopenic purpura but the clear temporal relationship between MMR vaccination and the occurrence of TP make a causal relationship highly plausible. Acute TP seems a rare complication of measles-rubella and MMR vaccination but clinicians had to be informed of the possibility of their occurrence. Acute TP following vaccination should be reported by physicians to their Regional Drug Surveillance Centre.
authors.affiliation: Service de Pharmacologie Clinique, Hôpital Bretonneau, Tours, France.
authors.forename: E
authors.initials: E
authors.lastname: Autret
authors.forename: A P
authors.initials: AP
authors.lastname: Jonville-Béra
authors.forename: C
authors.initials: C
authors.lastname: Galy-Eyraud
authors.forename: L
authors.initials: L
authors.lastname: Hessel
mesh_terms: D002648:Child; D002675:Child, Preschool; D005260:Female; D006801:Humans; D007223:Infant; D008297:Male; D008458:Measles Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D009108:Mumps Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D011696:Purpura, Thrombocytopenic / Q000453:epidemiology / Q000209:etiology*; D012189:Retrospective Studies; D012411:Rubella Vaccine / Q000008:administration & dosage / Q000009:adverse effects*; D017778:Vaccines, Combined
chemical_list: D008458:Measles Vaccine; D009108:Mumps Vaccine; D012411:Rubella Vaccine; D017778:Vaccines, Combined
vernacular_title: Purpura thrombopénique après vaccination isolée ou associée contre la rougeole, la rubéole et les oreillons.