[Severe thrombocytopenia after diagnosis of deep venous thrombosis].
A patient presented with erysipelas and developed deep venous thrombosis (DVT) and later idiopatic thrombocytopenic purpura (ITP). In the literature we find no reports of ITP following DVT. It is well known that patients can develop HIT after DVT or DVT after ITP, both caused by the medicine used for treatment. Patients have developed ITP after heparin-induced thrombocytopenia (HIT). Cases are also described in which heparin antibodies are found, but in which the final diagnosis was ITP. The diagnosis of the patient in our case story could be ITP based on DVT, but with no history of HIT. Alternatively, he could have developed two complications to an infection.
Anæstesiologisk Afdeling, Sygehus Sønderjylland, Sønderborg, Denmark. cfroeslevfriis@dadlnet.dk
Christina
C
Frøslev-Friis
Herbert
H
Kliment
Johnny Dohn Holmgren
JD
Andersen
D000368:Aged; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D000925:Anticoagulants / Q000009:adverse effects / Q000627:therapeutic use; D003907:Dexamethasone / Q000627:therapeutic use; D004886:Erysipelas / Q000188:drug therapy; D006493:Heparin / Q000009:adverse effects / Q000627:therapeutic use; D006801:Humans; D008297:Male; D009173:Mycophenolic Acid / Q000627:therapeutic use; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D013921:Thrombocytopenia / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000150:complications* / Q000188:drug therapy
D000900:Anti-Bacterial Agents; D000925:Anticoagulants; D003907:Dexamethasone; D006493:Heparin; D009173:Mycophenolic Acid