Publication

[Emergency treatment of severe bleeding in immune thrombocytopenia]

Journal Paper/Review - Mar 16, 2021

Units
PubMed
Doi

Citation
Meyer B, Graf L, Endermann S. [Emergency treatment of severe bleeding in immune thrombocytopenia]. Anaesthesist 2021
Type
Journal Paper/Review (Deutsch)
Journal
Anaesthesist 2021
Publication Date
Mar 16, 2021
Issn Electronic
1432-055X
Brief description/objective

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.