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Clin Appl Thromb Hemost ; 18(3): 324-6, 2012 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-22084414

RESUMO

Chronic immune thrombocytopenia (ITP) carries a poor prognosis in the elderly patients. Increasing evidence proposes that a subgroup of patients with chronic ITP may be more susceptible to ischemic stroke. An 84-year-old Caucasian man with multiple ischemic stroke risk factors presented with acute onset of slurred speech, confusion, and unsteady gait. Physical examination and neurologic imaging were consistent with a new left thalamic infarct. Platelet counts ranged between 40 000 × 10(9)/L and 65 000 × 10(9) /L. Antiplatelet therapy for his newly acquired stroke was not initiated considering his low platelet counts and for mildly symptomatic thrombocytopenia, and the patient was discharged home. Both hematologic and neurologic guidelines for the management of chronic ITP and stroke have contradictory goals. Although anticoagulation is mandated in acute stroke, ITP causes low platelet counts that increase bleeding complications.


Assuntos
Infarto Cerebral/sangue , Infarto Cerebral/etiologia , Púrpura Trombocitopênica Idiopática/sangue , Púrpura Trombocitopênica Idiopática/complicações , Acidente Vascular Cerebral/sangue , Acidente Vascular Cerebral/etiologia , Idoso de 80 Anos ou mais , Infarto Cerebral/terapia , Humanos , Masculino , Contagem de Plaquetas , Púrpura Trombocitopênica Idiopática/terapia , Acidente Vascular Cerebral/terapia
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