Immune thrombocytopenic purpura as sole manifestation in a case of acute hepatitis A.
Acute hepatitis due to hepatitis A virus is usually a benign selflimiting disease during childhood. Although many viral infections such as hepatitis B virus, Parvovirus, and Epstein-Barr virus are associated with extrahepatic autoimmune phenomena, such manifestations are rare in patients with acute hepatitis A infection. Immune thrombocytopenia is a benign, self-limiting disease in children, responding well to treatment and generally associated with viral infections. Immune thrombocytopenic purpura is rarely reported as a manifestation of acute hepatitis A. We report a five-year-old boy with immune thrombocytopenic purpura as the sole manifestation of anicteric acute hepatitis A infection. Acute hepatitis A should be included in the differential diagnosis of immune thrombocytopenic purpura.
Department of Pediatric Infectious Diseases Pediatrics, Dr. Sami Ulus Children's Hospital, Ankara, Turkey. gonultanir58@yahoo.com
Gönül
G
Tanir
Cumhur
C
Aydemir
Nilden
N
Tuygun
Ozge
O
Kaya
Neşe
N
Yarali
D000208:Acute Disease; D001707:Biopsy, Needle; D001853:Bone Marrow / Q000473:pathology; D002675:Child, Preschool; D003937:Diagnosis, Differential; D005500:Follow-Up Studies; D006506:Hepatitis A / Q000150:complications* / Q000175:diagnosis; D006801:Humans; D008297:Male; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000175:diagnosis / Q000209:etiology*