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Kojouri K, Vesely SK, Terrell DR, George JN. Review Splenectomy for adult patients with idiopathic thrombocytopenic purpura: a systematic review to assess long-term platelet count responses, prediction of response, and surgical complications. Blood. 2004 Nov 1; 104(9): 2623-34.

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Article

Myocardial Infarction in a Splenectomized Patient with Immune Trombocytopenia

1Department of Internal Medicine, Faculty of Medicine, Inonu University, Malatya, TURKEY

2Turgut Ozal Medical Center

3Karabuk Education and Research Hospital


American Journal of Medical Case Reports. 2015, Vol. 3 No. 9, 301-303
DOI: 10.12691/ajmcr-3-9-10
Copyright © 2015 Science and Education Publishing

Cite this paper:
Ilknur NIZAM, Mehmet Ali Erkurt, Ilhami Berber, Emin Kaya, Irfan Kuku, Mustafa Koroglu. Myocardial Infarction in a Splenectomized Patient with Immune Trombocytopenia. American Journal of Medical Case Reports. 2015; 3(9):301-303. doi: 10.12691/ajmcr-3-9-10.

Correspondence to: Ilknur  NIZAM, Department of Internal Medicine, Faculty of Medicine, Inonu University, Malatya, TURKEY. Email: ilknizam@yahoo.com

Abstract

Immune trombocytopenia is an autoimmune disease characterised by abnormal platelet destruction. Corticosteroids and intravenous immune globulin are main first line treatment options. Splenectomy is a preferred second line treatment option for unresponsive patients at many centers. Secondary thrombocytosis is a possible complication awaiting this group of patients after splenectomy. Here, we present a case of myocardial infarction at a patient who had undergone splenectomy for ITP, which is a rare event seen with secondary thrombocytosis due to splenectomy.

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