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Gaceta Médica Boliviana

On-line version ISSN 1012-2966


ABUJDER ABU-KHDEIR, Maiza; SANZ ARRAZOLA, Heydi; VILLEGAS NAVA, Ricardo  and  ROJAS SALAZAR, Enrique Gonzalo. Evolution of a case of intracraneal hemorrhage in infant with primary immune trombocytopenia. Gac Med Bol [online]. 2017, vol.40, n.2, pp.34-38. ISSN 1012-2966.

Primary immune thrombocytopenia (PIT) is a hematological disease of immunological cause that has platelet count less than 100 000 platelets / mm3 and has an incidence of 4 cases per 100 000 inhabitants, being more prevalent between 2 and 6 years of age. This entity remains a challenge with regard to therapeutics and can lead to serious complications that are difficult to resolve once established. We report the case of a young male infant who has a generalized pallor with sudden onset of hematoma in the oral mucosa, equimotic macules and punctate hemorrhages throughout the body surface. In the examinations performed thrombocytopenia and severe anemia were evident, arriving at the diagnoses of idiopathic thrombocytopenic purpura initially managed with transfusions and later with corticoids. despite the treatment the case progress whith complications of intraparenchymal hemorrhage accompanied by neurological decline

Keywords : primary immune thrombocytopenia; intraparenchymal hemorrhage; splenectomy.

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