Untitled Document
|
[Abstract] [PDF] [HTML] [Linked
References]
MedPulse - International Medical Journal, ISSN 2348-2516 E-ISSN: 2348-1897
Volume 1, Issue 8, June 2014 pp 409-413
Case Report
Idiopathic thrombocytopenic purpura (ITP) – a rare cause of PPH
Jyan Dip Nath1, Bikash Choudhury2
1Associate Professor, Department of OBGY, Gauhati Medical College Hospital, Assam, INDIA.
Academic Editor : Dr. Bhanap P. L.
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.
|
