Cerebellar hemorrhage due to immune thrombocytopenia

Abstract

La trombocitopenia inmune primaria (PTI) es un desorden que tiene como característica el aumento de la destrucción de las plaquetas o disminución en su producción resultando niveles bajos de las mismos y un riesgo aumentado de sangrado. Se presenta el caso de un paciente de sexo masculino, de 27 años de edad, previamente sano, que acude a consulta por cuadro de 48 hs de evolución de aparición de petequias. Durante su evolución presenta hemorragia cerebelosa con hipertensión endocraneana aguda que lo lleva al óbito a pesar del tratamiento.

Primary immune thrombocytopenia and cytomegalovirus infection About a case

“…2 The appearance of a severe purpuric manifestations is characteristic in pediatric patients, with affections of the skin and mucous membranes, with the presence of petechiae frequently in areas of greater pressure, wet purple (predictor of more severe bleeding), ecchymosis, epistaxis, menorrhagia and in some cases more severe bleeding such as gastrointestinal or central nervous system (CNS). 11,12 Our patient manifested as described in the bibliography with manifestations of petechiae disseminated throughout the body, more frequent in the lower limbs, he also presented wet purpuras on the oral mucosa and gingivorrhagia, mainly after brushing. The diagnostic criteria for Primary ITP are: isolated thrombocytopenia with platelet counts below 100 x 109/L, intact or hyperplastic megakaryopoietic system, granulopoietic and erythropoietic system without alterations, excluding secondary causes of thrombocytopenia.…”