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A Challenging Case of a Patient With Immune Thrombocytopenic Purpura on Eltrombopag Who Developed Atrial Fibrillation: An Anticoagulation Dilemma

Ahmed K. Yasin,Mohammad Abu-Tineh,Awni Alshurafa,Khalid Ahmed,Mohammed Abdulgayoom,Mohammad Afana, Mohamed A. Yassin

CUREUS JOURNAL OF MEDICAL SCIENCE（2023）

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Abstract
A 61-year-old female, who was a known case of immune thrombocytopenic purpura (ITP) on eltrombopag, was admitted for atrial fibrillation (AF). Labs showed a platelet count of 116 x 10(3)/mu L. AF reverted to sinus rhythm by cardioversion. Therapeutic enoxaparin was started for two days. She was discharged on dabigatran for four weeks. The choice of anticoagulation in these cases (ITP and AF) is not straightforward and needs further research.
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Key words
hematology,atrial fibrillation,immune thrombocytopenic purpura,anticoagulation,cardiovascular disorders
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