Acquired Amegakaryocytic Thrombocytopenic Purpura that Presented as Cyclic Thrombocytopenia Associated with Anti-Phospholipid Antibody Syndrome

Abstract

A 52-year-old female was admitted to our hospital because of nasal bleeding and purpura and petechiae of the extremities, which had lasted for two months. She had suffered from APS for 28 years and had been taking oral prednisolone (PSL). There was no family history of hematological disease. A physical examination showed bleeding symptoms, but no signs of