International Journal of Hematology and Oncology 2020, Vol 30, Num 2 Page(s): 040-043
A CASE THOUGHT TO BE CONSISTENT WITH IDIOPATHIC THROMBOCYTOPENIC PURPURA. IS IT MISDIAGNOSIS? OR RESISTANCE TO THERAPY?

Emrullah SOLMAZGÜL1, Yalçın ÖNEM1, Servet EMEKSİZ2, Levent PİRSELİMOĞLU2, Taner DAŞ3

1Hava Hastanesi, İç Hastalıkları Servisi, ESKİŞEHİR
2Hava Hastanesi, Genel Cerrahi Servisi, ESKİŞEHİR
3Hava Hastanesi, Patoloji Servisi, ESKİŞEHİR

Keywords: Idiopathic thrombocytopenic purpura, Misdiagnosis, Resistance
Idiopathic thrombocytopenic purpura (ITP) is a disorder which is associated with thrombocytopenia because of platelet destruction. There may be fault in diagnosis because there is no specific diagnostic test, also there is resistance to medical treatment at a determined ratio. Here, a case of thought has been consistent with ITP was presented who was resistant to classic and high dose steroid at initial treatment, complete remission has been achieved with intravenous immunoglobulin support and splenectomy. The case is still at remission since one and half year. Our aim was to update general knowledge about ITP and emphasize the high resistance rates at therapies and diagnostic difficulties as reported in literature.