Is it safe to avoid bone marrow examination in suspected itp?
Two children with suspected ITP are described. One child was treated outside with corticosteroids and was diagnosed acute lymphoblastic leukemia. Another child was fresh and diagnosed as acute myeloid leukemia on bone marrow aspirate examination. Both the children had no physical or peripheral smear finding suggestive of leukemia. We suggest that a bone marrow examination is required in developing countries for evaluation of thrombocytopenia before labeling it an immune thrombocytopenic purpura.
Naithani
Rahul
R
Department of Hematology, All India Institute of Medical Sciences, New Delhi, India.
Kumar
Rajat
R
Mahapatra
M
M
Agrawal
Neerja
N
Pati
H P
HP
Choudhry
V P
VP
D000208:Acute Disease; D000305:Adrenal Cortex Hormones / Q000627:therapeutic use; D001856:Bone Marrow Examination; D002648:Child; D003937:Diagnosis, Differential; D005260:Female; D006801:Humans; D007951:Leukemia, Myeloid / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D054198:Precursor Cell Lymphoblastic Leukemia-Lymphoma / Q000175:diagnosis* / Q000188:drug therapy; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000175:diagnosis*
D000305:Adrenal Cortex Hormones