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[Emergency treatment of severe bleeding in immune thrombocytopenia]

Barbara Meyer, Lukas Graf & Susann Endermann

abstract Immune 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.
   
citation Meyer B, Graf L, Endermann S. [Emergency treatment of severe bleeding in immune thrombocytopenia]. Anaesthesist 2021;.
   
type journal paper/review (Translation2::getLang(): unknown language "". Use Translation2::setLang() to set a default language.)
date of publishing 16-03-2021
journal title Anaesthesist
ISSN electronic 1432-055X
PubMed 33728478
DOI 10.1007/s00101-021-00939-2