Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients

The etiologies of secondary idiopathic thrombocytopenic purpura (ITP) include infection, autoimmune disease, and immunodeficiency. We report the cases of three elderly patients who developed ITP after receiving influenza vaccinations. The platelet count of an 81-year-old woman fell to 27,000/μL afte...

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Main Authors: Joji Nagasaki, Masahiro Manabe, Kentaro Ido, Hiroyoshi Ichihara, Yasutaka Aoyama, Tadanobu Ohta, Yoshio Furukawa, Atsuko Mugitani
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Hematology
Online Access:http://dx.doi.org/10.1155/2016/7913092
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author Joji Nagasaki
Masahiro Manabe
Kentaro Ido
Hiroyoshi Ichihara
Yasutaka Aoyama
Tadanobu Ohta
Yoshio Furukawa
Atsuko Mugitani
author_facet Joji Nagasaki
Masahiro Manabe
Kentaro Ido
Hiroyoshi Ichihara
Yasutaka Aoyama
Tadanobu Ohta
Yoshio Furukawa
Atsuko Mugitani
author_sort Joji Nagasaki
collection DOAJ
description The etiologies of secondary idiopathic thrombocytopenic purpura (ITP) include infection, autoimmune disease, and immunodeficiency. We report the cases of three elderly patients who developed ITP after receiving influenza vaccinations. The platelet count of an 81-year-old woman fell to 27,000/μL after she received an influenza vaccination. A 75-year-old woman developed thrombocytopenia (5,000 platelets/μL) after receiving an influenza vaccination. An 87-year-old woman whose laboratory test values included a platelet count of 2,000/μL experienced genital bleeding after receiving an influenza vaccination. After Helicobacter pylori (HP) eradication or corticosteroid treatment, all of the patients’ platelet counts increased. Influenza vaccination is an underlying etiology of ITP in elderly patients. HP eradication or corticosteroid treatment is effective for these patients. Clinicians should be aware of the association between ITP and influenza vaccinations.
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institution Kabale University
issn 2090-6560
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language English
publishDate 2016-01-01
publisher Wiley
record_format Article
series Case Reports in Hematology
spelling doaj-art-323a70604c474077981016a866671e262025-02-03T01:07:50ZengWileyCase Reports in Hematology2090-65602090-65792016-01-01201610.1155/2016/79130927913092Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly PatientsJoji Nagasaki0Masahiro Manabe1Kentaro Ido2Hiroyoshi Ichihara3Yasutaka Aoyama4Tadanobu Ohta5Yoshio Furukawa6Atsuko Mugitani7Department of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanDepartment of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanDepartment of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanDepartment of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanDepartment of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanDepartment of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanDepartment of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanDepartment of Hematology, Seichokai Fuchu Hospital, 1-10-17 Hikocho, Izumi-shi, Osaka 594-0076, JapanThe etiologies of secondary idiopathic thrombocytopenic purpura (ITP) include infection, autoimmune disease, and immunodeficiency. We report the cases of three elderly patients who developed ITP after receiving influenza vaccinations. The platelet count of an 81-year-old woman fell to 27,000/μL after she received an influenza vaccination. A 75-year-old woman developed thrombocytopenia (5,000 platelets/μL) after receiving an influenza vaccination. An 87-year-old woman whose laboratory test values included a platelet count of 2,000/μL experienced genital bleeding after receiving an influenza vaccination. After Helicobacter pylori (HP) eradication or corticosteroid treatment, all of the patients’ platelet counts increased. Influenza vaccination is an underlying etiology of ITP in elderly patients. HP eradication or corticosteroid treatment is effective for these patients. Clinicians should be aware of the association between ITP and influenza vaccinations.http://dx.doi.org/10.1155/2016/7913092
spellingShingle Joji Nagasaki
Masahiro Manabe
Kentaro Ido
Hiroyoshi Ichihara
Yasutaka Aoyama
Tadanobu Ohta
Yoshio Furukawa
Atsuko Mugitani
Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients
Case Reports in Hematology
title Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients
title_full Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients
title_fullStr Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients
title_full_unstemmed Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients
title_short Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients
title_sort postinfluenza vaccination idiopathic thrombocytopenic purpura in three elderly patients
url http://dx.doi.org/10.1155/2016/7913092
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