Idiopathic thrombocytopenic purpura (ITP) – a rare cause of PPH
Journal Title: MedPulse -International Medical Journal - Year 2014, Vol 1, Issue 8
Abstract
A patient named Mrs R.B aged 22 yrs Para 2 was admitted with bleeding per vagina for last 2 months since her delivery and purple spots over the extremities over last 10- 15 days. She attended several hospitals and received treatment along with 14 bottles of blood transfusions. Still she continued bleeding per vagina and her Hb% in next day of admission was 2.7 gm%. Her platelet count was less than 10,000. After a lot of deliberation, the case was diagnosed as P2L1 with secondary PPH due to chronic Idiopathic Thrombocytopenic Purpura. She was treated accordingly. She received PRBC 7 units, platelet 6 units, whole blood 1unit. She was discharged after her secondary PPH was cured with Hb% 11.6 gm% and platelet count 140000/cumm. The ITP is a diagnosis of exclusion. The case is presented to highlight that in the management of PPH, if the treatment does not respond, one should think of rare cause like ITP. It is the awareness of the doctors that can help the patients.
Authors and Affiliations
Jyan Dip Nath, Bikash Choudhury
Keywords
Related Articles
- EP ID EP180035
- DOI -
- Views 104
- Downloads 0
Health status of auto-rickshaw drivers plying in Agra city
Research question: What is the health status of auto-rickshaw drivers plying in Agra city of India? Study design: Cross–Sectional study. Duration of study: March 2011 to November 2012 Site of study: Auto-rickshaw stand o...
Prevalence of psychiatric illness in rural Maharashtra
Introduction: Psychiatric epidemiology lags behind other branches of epidemiology due to difficulties encountered in conceptualizing, diagnosing, defining a case, sampling, selecting an instrument, lack of resources and...
Comparison between epidural tramadol and epidural fentanyl for post operative analgesia
This study was carried out to compare the analgesic efficacy and side effects of epidural tramadol and that of epidural fentanyl. A total of 60 adult patients of ASA grade I and II undergoing general surgery (lower abdom...
A study of estimation and correlations of stature from finger lengths
Introduction: Stature is one of the important and useful anthropometric parameters. It is the quantitative measure of physique and indicative of physical growth and development of an individual. Estimation of stature of...
Usefullness of mannheim peritonitis index scoring system in predicting the outcome in patients of periotonitis due to hollow viscous perforation
Aims and Objectives: Early prognostic evaluation of patients with peritonitis is desirable to select high- risk patients for intensive management and also to provide a reliable objective classification of severity and op...