Acquired amegakaryocytic thrombocytopenic purprura is a rare disorder chara
cterized by severe thrombocytopenia due to the absence of bone marrow megak
aryocytes, The pathogenic mechanisms of this disorder have not well defined
; consequently, several empirical therapies are used.
We reported the case of a 38-year-dd mean who was hospitalized for serious
bleeding syndrome. The platelet count was 10 x10(9)/L. The bone marrow aspi
rate and biopsy showed the absence of megakaryocytes but otherwise normal g
ranulocyte and erythroid precursors. No definable etiology has been found.
After the unsuccessful use of prednisone, intravenous immunoglobulin therap
y was started and resulted in favorable response.