Monday, March 31, 2008

Idiopathic thrombocytopenic purpura easily confused with the diseases

Henoch-Schonlein Purpura: To kind of allergic inflammation its performance capillary bleeding and skin purpura more in the face and hand, foot and buttocks Purpura stretch than the skin and itching associated with a sense of pain at the same time the performance of joint pain swelling in some patients there may be hematuria and proteinuria HSPN normal platelet count beam performance test positive h arm blood clots retreat normal megakaryocytes in the bone marrow cells of the quality and quantity of abnormal
Distribution of platelet abnormalities: Hypersplenism diseases such as liver cirrhosis are myelofibrosis with splenomegaly thrombocytopenia in addition to symptoms of anemia and leukopenia phenomenon
Secondary thrombocytopenic purpura:
() TPO obstacle: If the platelet reduction as the first symptom, as well as myelodysplastic syndrome with chemotherapy or radiotherapy induced ITP patients with bone marrow puncture if myelodysplastic low or extremely low or no megakaryocyte cells megakaryocyte cells can be significantly reduced for the diagnosis of aplastic anemia if sick or small megakaryocyte hematopoietic should consider myelodysplastic syndrome may
() Autoimmune disease caused by idiopathic thrombocytopenic purpura: autoimmune disease systemic lupus erythematosus and rheumatoid arthritis Evans (Evans) syndrome hyperthyroidism platelet disease can be reduced to a clear diagnosis through immunological tests such as the anti-nuclear antibody rheumatoid factor anti-human globulin TT and TSH and other distinction.

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