Fj. Penalver et al., SPLENIC PELIOSIS WITH SPONTANEOUS SPLENIC RUPTURE IN A PATIENT WITH IMMUNE THROMBOCYTOPENIA TREATED WITH DANAZOL, Haematologica, 83(7), 1998, pp. 666-667
We present a 79-year-old man diagnosed with immune thrombocytopenia (I
TP), treated with danazol, who died as a result of a spontaneously rup
tured spleen. The histopathological diagnosis was splenic peliosis. Th
is patient presents a chronological association between the treatment
with danazol and the development of pellosis, which suggests a clear c
ause-effect relationship. pacing an Individual patient with ITP, clini
cians should weigh the potential benefits of danazol with the possible
development of serious complications, such as hepatic failure or sple
nic rupture due to peliosis.