title: Acute idiopathic thrombocytopenic purpura complicated with diffuse alveolar hemorrhage in an elderly patient.
abstract: Idiopathic thrombocytopenic purpura (ITP) is a hemorrhagic disease that often occurs in the elderly. It generally presents as a chronic disease with insidious onset, and is frequently resistant to various therapies. Compared to patients less than 40 years old, those older than 60 years tend to show a higher rate of ITP-related mortality. The present report describes a 73-year-old patient with acute ITP who experienced diffuse alveolar hemorrhage that responded well to high-dose intravenous immunoglobulin therapy combined with corticosteroid pulse therapy.
authors.affiliation: Department of Medicine, Mishuku Hospital, Tokyo. mi.uchiyama@scchr.jp
authors.forename: Michihiro
authors.initials: M
authors.lastname: Uchiyama
authors.forename: Aritoshi
authors.initials: A
authors.lastname: Hattori
authors.forename: Teppei
authors.initials: T
authors.lastname: Tanaka
authors.forename: Takashi
authors.initials: T
authors.lastname: Miyaji
authors.forename: Yasunori
authors.initials: Y
authors.lastname: Matsuki
authors.forename: Tatsuya
authors.initials: T
authors.lastname: Fujii
authors.forename: Toshio
authors.initials: T
authors.lastname: Ichiwata
authors.forename: Takuya
authors.initials: T
authors.lastname: Hayashi
authors.forename: Takashi
authors.initials: T
authors.lastname: Ikeda
mesh_terms: D000208:Acute Disease; D000368:Aged; D006470:Hemorrhage / Q000150:complications / Q000175:diagnosis*; D006801:Humans; D008171:Lung Diseases / Q000150:complications / Q000175:diagnosis*; D008297:Male; D011650:Pulmonary Alveoli / Q000473:pathology*; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications / Q000175:diagnosis*