The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something?
Though the American society of hematology Guidelines and British guidelines do not recommend screening of thyroid diseases in cases of immune thrombocytopenia (ITP), more than 160 cases of hyperthyroidism associated with ITP have been reported. Numerous case reports would suggest that patients with...
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| Format: | Article |
| Language: | English |
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Wolters Kluwer Medknow Publications
2018-01-01
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| Series: | Tzu Chi Medical Journal |
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| Online Access: | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2018;volume=30;issue=3;spage=188;epage=190;aulast=Shekhda |
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| _version_ | 1849322723361161216 |
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| author | Kalyan Mansukhbhai Shekhda |
| author_facet | Kalyan Mansukhbhai Shekhda |
| author_sort | Kalyan Mansukhbhai Shekhda |
| collection | DOAJ |
| description | Though the American society of hematology Guidelines and British guidelines do not recommend screening of thyroid diseases in cases of immune thrombocytopenia (ITP), more than 160 cases of hyperthyroidism associated with ITP have been reported. Numerous case reports would suggest that patients with ITP and concurrent hyperthyroidism would respond to control of thyroid disease rather than the standard ITP treatment. Although this issue is still debatable, we report a case of a young female with a previous diagnosis of hyperthyroidism which was not well controlled, had presented with severe thrombocytopenia. Initially, all work-up had been done to find out the cause of thrombocytopenia. After all normal reports except deranged thyroid function tests, the patient was labeled as ITP and started on steroids. Even after a few months of steroid treatment, platelet counts had not improved. However, after starting antithyroid drugs, platelet counts had become normalized. |
| format | Article |
| id | doaj-art-8b5531b6d629470db20bb38ffeebfc65 |
| institution | Kabale University |
| issn | 1016-3190 2223-8956 |
| language | English |
| publishDate | 2018-01-01 |
| publisher | Wolters Kluwer Medknow Publications |
| record_format | Article |
| series | Tzu Chi Medical Journal |
| spelling | doaj-art-8b5531b6d629470db20bb38ffeebfc652025-08-20T03:49:17ZengWolters Kluwer Medknow PublicationsTzu Chi Medical Journal1016-31902223-89562018-01-0130318819010.4103/tcmj.tcmj_139_17The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something?Kalyan Mansukhbhai ShekhdaThough the American society of hematology Guidelines and British guidelines do not recommend screening of thyroid diseases in cases of immune thrombocytopenia (ITP), more than 160 cases of hyperthyroidism associated with ITP have been reported. Numerous case reports would suggest that patients with ITP and concurrent hyperthyroidism would respond to control of thyroid disease rather than the standard ITP treatment. Although this issue is still debatable, we report a case of a young female with a previous diagnosis of hyperthyroidism which was not well controlled, had presented with severe thrombocytopenia. Initially, all work-up had been done to find out the cause of thrombocytopenia. After all normal reports except deranged thyroid function tests, the patient was labeled as ITP and started on steroids. Even after a few months of steroid treatment, platelet counts had not improved. However, after starting antithyroid drugs, platelet counts had become normalized.http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2018;volume=30;issue=3;spage=188;epage=190;aulast=ShekhdaAntithyroid drugsAutoimmune diseasePlatelet countsSteroids |
| spellingShingle | Kalyan Mansukhbhai Shekhda The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something? Tzu Chi Medical Journal Antithyroid drugs Autoimmune disease Platelet counts Steroids |
| title | The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something? |
| title_full | The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something? |
| title_fullStr | The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something? |
| title_full_unstemmed | The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something? |
| title_short | The association of hyperthyroidism and immune thrombocytopenia: Are we still missing something? |
| title_sort | association of hyperthyroidism and immune thrombocytopenia are we still missing something |
| topic | Antithyroid drugs Autoimmune disease Platelet counts Steroids |
| url | http://www.tcmjmed.com/article.asp?issn=1016-3190;year=2018;volume=30;issue=3;spage=188;epage=190;aulast=Shekhda |
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