Acute idiopathic thrombocytopenic purpura complicated with diffuse alveolar hemorrhage in an elderly patient.
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.
Uchiyama
Michihiro
M
Department of Medicine, Mishuku Hospital, Tokyo. mi.uchiyama@scchr.jp
Hattori
Aritoshi
A
Tanaka
Teppei
T
Miyaji
Takashi
T
Matsuki
Yasunori
Y
Fujii
Tatsuya
T
Ichiwata
Toshio
T
Hayashi
Takuya
T
Ikeda
Takashi
T
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*