経過中卵巣出血を合併した血小板減少性紫斑病の2例

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タイトル別名
  • Two Cases of Thrombocytopenic Purpura Associated with Ovarian Bleeding
  • ケイカチュウ ランソウ シュッケツ オ ガッペイシタ ケッショウバン ゲンショ

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Case 1.- A 44-year-old woman was admitted on February, 1980. She complained nasal bleeding, purpura and lower abdominal pain. Purpura appeared occasionally since several years ago. Her menses have been regular.<br>She had thrombocytopenia, normocytic normochronic anemia of unknown etiology. Bone marrow aspiration revealed hypoplasia with scattered megakaryocytes releasing no platelets. On admission, she had collapsed. A Douglas puncture revealed the presence of fresh blood supporting the diagnosis of ovarian bleeding. Daily administration of prednisolone (40 mg) rapidly induced an improvement of her clinical conditions and an increase in platelet count up to 185,000.<br><br>Case 2.- A 29-year-old woman experienced massive genital bleeding when her pregnancy was interrupted in 1976. On the following year, purpura, hematuria and genital bleeding developed. She was diagnosed as idiopathic thrombocytopenic purpura based on her laboratory findings. After prednisolone therapy, her platelet counts ranged from 12,000 to 20,000. She was admitted to our hospital on March, 1980. On admission, she complained severe abdominal pain and nausea, then she fell into collapse. Operation revealed the presence of right ovarian bleeding.<br>Although purpura, genital, gingival and nasal bleeding are known as the common complications of thrombocytopenic purpura, ovarian bleeding is extraordinally rare complication in patients with thrombocytopenic purpura.<br>We report two unusual cases of thrombocytopenic purpura with a complication of ovarian bleeding.

収録刊行物

  • 臨床血液

    臨床血液 23 (1), 108-113, 1982

    一般社団法人 日本血液学会

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