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- Barbara Meyer, Lukas Graf, and Susann Endermann.
- Klinik für Anästhesiologie, Intensiv‑, Rettungs- und Schmerzmedizin, Kantonsspital St. Gallen, Rorschacherstraße 95, 9000, St. Gallen, Schweiz. barbara.meyer2@kssg.ch.
- Anaesthesist. 2021 Jul 1; 70 (7): 598-602.
AbstractImmune thrombozytopenia (ITP) is a rare acquired thrombocytopenia occurring in 2 to 4 persons per 100,000 per year. ITP is defined as a platelet count less than 100 G/l in patients in whom other causes of thrombocytopenia have been ruled out. Severe bleeding is rare but may constitute a life-threatening condition. Therapeutic options include platelet transfusions, glucocorticoids and intravenous immune globuline (IVIG). Emergency splenectomy has to be considered in otherwise untreatable bleeding. We present the case of a 65-year-old patient with chronic refractory ITP and finally fatal bleeding.
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