以免疫性血小板减少性紫癜为突出表现的淋巴结结核1例(附文献复习)

中国防痨杂志 ›› 2007, Vol. 29 ›› Issue (3): 261-263.

以免疫性血小板减少性紫癜为突出表现的淋巴结结核1例(附文献复习)

王永韧；陆化；季鸥；徐卫；张建富；范钦和；李建勇

南京医科大学第一附属医院南京 210029

出版日期:2007-03-10 发布日期:2007-11-03

Immunologic Thrombocytopenic Purpura as Prominent Manifestation of Lymphoid Tuberculosis and Literature Review-A Case Report

Wang Yongren,Lu Hua,JI Ou,et al.

Department of Hematology,the First Affiliated Hospital of Nanjing Medical University,Nanjing 210029,China

Online:2007-03-10 Published:2007-11-03

摘要/Abstract

摘要： 目的探讨结核病导致的免疫性血小板减少性紫癜(ITP)的临床特点。方法回顾性分析1例以广泛出血点和散发紫癜为表现的淋巴结结核患者临床资料并复习相关文献。结果患者的临床特征为男性,48岁,表现为皮肤广泛出血点和散发紫癜以及盗汗、体重下降,血常规显示血小板计数6×10⁹/L,锁骨上淋巴结活检病理为淋巴结结核,临床诊断为淋巴结结核合并ITP。结论ITP可以作为结核病导致血液学异常的表现之一,在诊断ITP的时候应该考虑到结核病。糖皮质激素加抗结核治疗可使血小板短期内回复正常。

关键词: 免疫性血小板减少性紫癜, 结核,淋巴结

Abstract: Objective To investigate the clinical features of immunologic thrombocytopenic purpura(ITP) induced by lymphoid tuberculosis(TB). Methods The clinical data of a case of ITP induced by lymphoid TB which presented with generalized petechiae and sporadic purpura were retrospectively analyzed,and literatures review about this case was conducted. Results A male patient of 48 years old presented as generalized petechiae,sporadic purpura,night sweating and weight loss.Platelets count in peripheral blood was 6×10⁹/L,and pathological examination revealed the existence of supraclavicular lymph node TB.The patient was diagnosed lymphoid TB complicated with ITP. Conclusion ITP can be one of the hematologic abnormalities induced by TB and TB should be thought as one of the etiology of ITP.Platelets count can be recovered in a short time as the glucocorticosteroid and anti-TB drugs administrated

Key words: Immune thrombocytopenia purpura, Lymphoid tuberculosis

王永韧,陆化,季鸥,徐卫,张建富,范钦和,李建勇. 以免疫性血小板减少性紫癜为突出表现的淋巴结结核1例(附文献复习)[J]. 中国防痨杂志, 2007, 29(3): 261-263.

Wang Yongren,Lu Hua,JI Ou,et al.. Immunologic Thrombocytopenic Purpura as Prominent Manifestation of Lymphoid Tuberculosis and Literature Review-A Case Report[J]. Chinese Journal of Antituberculosis, 2007, 29(3): 261-263.

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