J Korean Soc Traumatol.
2017 Jun;30(2):59-62. 10.20408/jti.2017.30.2.59.
The Management of Lupus Thrombocytopenia in Poly Trauma Patient
- Affiliations
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- 1Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea. ssulyh@gmail.com
- 2Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, Korea.
- 3Department of Trauma Surgery, Cheju Halla General Hospital, Jeju, Korea.
- KMID: 2392710
- DOI: http://doi.org/10.20408/jti.2017.30.2.59
Abstract
- Lupus thrombocytopenia is a common clinical manifestation in systemic lupus erythematosus (SLE). It may present to clinicians with considerable therapeutic difficulties. We experienced a 40-year-old poly trauma patient with lupus thrombocytopenia who had been treated with immunosuppressive drugs for SLE. She was treated for refractory thrombocytopenia with platelet transfusion, corticosteroid and Intravenous immunoglobulin (IVIG). Fourteen days after admission, her platelet count started to increase, 101×103/ul at 16 days after admission. Trauma patients may carry various underlying diseases and thus trauma surgeons should always be aware and ready for peculiar situations.
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