ACUTE THROMBOCYTOPENIC PURPURA HEMORRHAGICA WITH LYMPHOCYTOSIS; REPORT OF A CASE

1 January 1943

journal article
research article
Published by American College of Physicians in Annals of Internal Medicine

Vol. 18 (1) , 96-100
https://doi.org/10.7326/0003-4819-18-1-96

Abstract

A 20-yr. old white [female] student suddenly developed acute thrombocytopenic purpura with a grossly abnormal blood smear, showing as many as 68 per cent "pathological" cells. This case shares with those previously reported by George R. Minot (Am. J. Med. Sci., 1936, exeii, 445) the absence of initial anemia, the profound thrombocytopenia, the "abnormal lymphocytosis," the favorable clinical course following blood transfusions, the complete clinical recovery, and undemonstrable etiological antecedents. Since this entity may be readily confused with acute leukemia and idiopathic thrombocytopenic purpura, the importance of diagnosis is presented, both from the standpoint of the urgency of transfusions, and the avoidance of splenectomy.

Keywords

This publication has 1 reference indexed in Scilit:

PURPURA HEMORRHAGICA WITH LYMPHOCYTOSIS; AN ACUTE TYPE AND AN INTERMITTENT MENSTRUAL TYPE
The Lancet Healthy Longevity, 1936