Surgery As A Recurrent Trigger For Immune Thrombocytopenia (Itp) In A Patient Cured Of M7 Acute Myelogenous Leukemia
JOURNAL OF PEDIATRIC HEMATOLOGY ONCOLOGY(2016)
Abstract
We report the case of a 10-year-old boy, 8 years post-M7 acute myeloid leukemia with a history of significant thrombocytopenia and bleeding, requiring treatment, after 2 surgical procedures performed under general anesthesia. In both instances, the thrombocytopenia and bleeding responded to intravenous immunoglobulin treatment. Between surgeries, the platelet counts were normal. Before a third surgical procedure, he was successfully pretreated with dexamethasone and experienced no bleeding or thrombocytopenia after the operation. This case highlights the potential utility of corticosteroid pretreatment in patients with a history of immune thrombocytopenia before surgical procedures under general anesthesia.
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Key words
immune thrombocytopenia, surgery, general anesthetic
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