A. Bhattacharyya et Sc. Sharma, AUTOIMMUNE THROMBOCYTOPENIC PURPURA IN A SPLENECTOMIZED PATIENT, International journal of clinical practice, 52(7), 1998, pp. 508-509
Splenectomy remains a treatment in patients with autoimmune thrombocyt
openic purpura (ATP) who fail to respond adequately to conservative tr
eatment. We report on a 78-year-old man who developed ATP after splene
ctomy performed six years earlier for iatrogenic injury to the spleen
during hemicolectomy, Incidentally, he suffered from colonic and prost
atic malignancies. To our knowledge, such a case has not been reported
before. We discuss the mechanism of thrombocytopenia in ATP and its a
ssociation with various malignancies.