Idiopathic thrombocytopenic purpura in a newly diagnosed pancreatic adenocarcinoma.
BACKGROUND
Pancreatic adenocarcinoma presenting as idiopathic thrombocytopenic purpura has not been previously reported in the literature.


METHODS
A newly diagnosed patient with metastatic pancreatic adenocarcinoma developed thrombocytopenic purpura prior to initiation of chemotherapy. Generalized petechiae were present and peripheral smear revealed giant platelets. Drug induced and other thrombotic platelet consuming disorders were ruled out. Her platelets returned to normal after being treated with steroids.


CONCLUSIONS
ITP can be associated with metastatic pancreatic adenocarcinoma and can respond well to steroid treatment.
Bir
Arvinder
A
Departments of Medicine and Pathology, Roswell Park Cancer Institute, Buffalo, NY 14263, USA.
Bshara
Wiam
W
George
Marina
M
Fakih
Marwan G
MG
D000230:Adenocarcinoma / Q000097:blood / Q000150:complications*; D001792:Blood Platelets / Q000166:cytology; D005260:Female; D006801:Humans; D008113:Liver Neoplasms / Q000473:pathology / Q000556:secondary; D008875:Middle Aged; D010190:Pancreatic Neoplasms / Q000097:blood / Q000150:complications*; D010976:Platelet Count; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000175:diagnosis*