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International Journal of Advances In Case Reports

Volume 11, Issue 1, 2024
Mcmed International
International Journal of Advances In Case Reports
Issn
XXX-XXXX (Print), 2349 - 8005 (Online)
Frequency
bi-annual
Email
editorijacr@mcmed.us
Journal Home page
http://mcmed.us/about/ijacr
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Abstract
Title
A RARE CASE OF DELAYED SECONDARY IDIOPATHIC THROMBOCYTOPENIC PURPURA IN A PATIENT WITH TREATED GUILLAIN BARRE SYNDROME.
Author
Anshu Solanki, Himaaldev, Pradeep M. Venkategowda, Shankar V
Email
drpradeepmarur@gmail.com
keyword
GuillainBarre Syndrome, Idiopathic Thrombocytopenic purpura, Eltrombopag, Splenectomy.
Abstract
The Idiopathic Thrombocytopenic purpura (ITP) associated with concurrent GuillainBarre Syndrome (GBS) has been reported previously but delayed onset ITP following GB syndrome is a rare phenomenon. This is a case of 66 years old male a recovered case of Guillain-barre Syndrome readmitted to our hospital with complaints of hemoptysis. Routine blood investigations were done which revealed Pancytopenia. Bone marrow aspiration and biopsy showed hypercellular marrow and increased megakaryocytes. Patient received multiple platelet transfusions in view of hemoptysis and hematuria. He was diagnosed to be having severe secondary ITP in view of persistent low platelets and hence received steroids, Intravenous immunoglobulin and Eltrombopag (Thrombopoietin receptor agonist). Due to refractory thrombocytopenia patient underwent splenectomy following which platelets started showing an increasing trend within 48 hours.
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