Immune Thrombocytopenic Purpura Associated with Pulmonary Tuberculosis
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概要
- 論文の詳細を見る
A 22-year-old woman was admitted into our hospital because of generalized purpura and abnormalities in her chest X-ray. Isolated thrombocytopenia and elevated platelet-associated IgG levels were detected, while the bone marrow examination was normal. Mycobacterium tuberculosis was detected in the bronchoalveolar lavage fluid, and consequently she was diagnosed as having active tuberculosis. High-dose immunoglobulin therapy combined with anti-tuberculosis drugs not only rapidly and continuously corrected thrombocytopenia but also cured pulmonary tuberculosis. This case suggests a causal association between immune thrombocytopenia and tuberculosis as well as the safety and efficacy of the anti-tuberculosis drugs combined with high-dose immunoglobulin therapy.
著者
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Yoshiji Hitoshi
Department Of Internal Medicine Nara Medical University
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Fujimoto Masao
Department Of Internal Medicine Ja Gifu Tohno-kousei Hospital
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MITORO Akira
Department of Parasitology and Third Department of Internal Medicine, Nara Medical University
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Kojima Hideyuki
Department Of 3rd Internal Medicine Nara Medical University School Of Medicine
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Uemura Masahito
Department Of 3rd Internal Medicine Nara Medical University School Of Medicine
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Fukui Hiroshi
Department Of Applied Biological Science Faculty Of Agriculture Kagawa University
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Tsuro Kiminori
Department Of Internal Medicine Nara Prefectural Gojo Hospital
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Uemura Masahito
Department of Gastroenterology and Metabology, Toon, Ehime University Graduate School of Medicine
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Masahide Yoshikawa
Department of Endoscopic Medicine, Toon, Ehime University Graduate School of Medicine
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Kojima Hideyuki
Department of Gastroenterology and Metabology, Toon, Ehime University Graduate School of Medicine
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Tsuro Kiminori
Department of Gastroenterology and Metabology, Toon, Ehime University Graduate School of Medicine
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Yoshiji Hitoshi
Department of Gastroenterology and Metabology, Toon, Ehime University Graduate School of Medicine
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Mitoro Akira
Department of Gastroenterology and Metabology, Toon, Ehime University Graduate School of Medicine
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