Immune Thrombocytopenic Purpura Secondary to Varicella Zoster Infection: A Case Report
Yıl 2017,
Cilt: 8 Sayı: 32, 29 - 33, 31.12.2017
Yasin Yıldız
,
Serdar Özkasap
Tuğba Calaboğlu
Elif Karadeniz
Semiha Çakmak
,
Zeynep Hocoğlu
Öz
Varicella zoster
infection is usually considered
to be benign despite of serious complications.
Immune Thrombocytopenic Purpura (ITP) is usually
a self-limiting disorder in children. ITP is an autoimmune disorder in which
antibody-coated or immune complex–coated platelets are destroyed prematurely by
the reticuloendothelial system, resulting in peripheral thrombocytopenia. In primary ITP the thrombocytopenia is
isolated, whereas in secondary ITP the condition is associated with other
disorders (e.g. Systemic Lupus Erythematous, HIV, VZV). We describe a case
of immune Thrombocytopenic
Purpura secondary to varicella infection in a previously
healthy 7-y-old boy. He was treated successfully with intravenous immunoglobulin (IVIG).
Kaynakça
- 1.Piqueras Arenas AI, Otero Reigada MC, Perez-Tamarit D et al. Hospitalizations for varicella in the Hospital Infantil La Fe, Valencia, Spain, 2001-2004. An Pediatr (Barc) 2005;63:120-124.
- 2.Koturoglu G, Kurugol Z, Cetin N. Complications of varicella in healthy children in Izmir, Turkey. Pediatr Int 2005;47: 296-99.
- 3.Demirören K, Demirören S, Aydın M. Immune Thrombocytopenic Purpura Following Varicella: A Case Report. Fırat University Health Sciences Medical Journal. 2007;21:137-40
- 4.Miller E, Marshall R, Vurdien J. Epidemiology, outcome and control of varicella-zoster infection. Rev Med Microbiol. 1993;4:222–30.
- 5.Rand ML, Wright JF. Virus-associated idiopathic thrombocytopenic purpura. Transfusion Science. 1998;19:253-59.
- 6.White CJ. Varicella-virus virus vaccine. Clinical Infectious Diseases 1997;24:753–63
- 7.Smíšková D, Blechová Z, Polanecká L, Zítová J, Podojilová M, Smíšek P. Immune thrombocytopenia as a complication of acute infectious diseases - case reports. Klin Mikrobiol Infekc Lek. 2013;19:15-8.
- 8. Yenicesu I, Yetgin S, Ozyürek E, Aslan D. Virus-associated immune thrombocytopenic purpura in childhood. Pediatr Hematol Oncol. 2002;19:433-37.
- 9. Enders G, Miller E, Cradock-Watson J, Bolley I, Ridehalgh M. Consequences of varicella and herpes zoster in pregnancy: prospective study of 1739 cases. Lancet 1994;343:1548–51.
- 10.Jaeggi A, Zurbruegg RP, Aebi C. Complications of varicella in a defined central European population. Archives of Disease in Childhood 1998;79:472–77.
- 11.Koturoglu G , Kurugol Z, Turkoglu E . Seroepidemiology of varicella-zoster virus and reliability of varicella history in Turkish children, adolescents and adults . Paediatr Perinat Epidemiol. 2011;25:388–93.
- 12.İncecik F, Önlen Y, Leblebisatan G. Immune Thrombocytopenic Purpura after Varicella Infection: Case Report. Dicle Medical Journal. 2008;3:138-40.
- 13.Yalçın AS, Coşkun E, Uyanık H, Bay A. Immune thrombocytopenic purpura following Varicella zoster infection. Journal of Clinical and Experimental Investigations. 2011;2:85-7.
- 14.Rentier B, Gershon AA. Members of European Working Group on Varicella (EuroVar). Consensus: varicella vaccination of healthy children. The Pediatric Infectious Disease Journal 2004;23:379–89.
Varicella Zoster Enfeksiyonunu Takiben Gelişen İmmun Trombositopenik Purpura
Yıl 2017,
Cilt: 8 Sayı: 32, 29 - 33, 31.12.2017
Yasin Yıldız
,
Serdar Özkasap
Tuğba Calaboğlu
Elif Karadeniz
Semiha Çakmak
,
Zeynep Hocoğlu
Öz
Varicella Zoster Virüs (VZV) enfeksiyonu
genellikle bening olmasına rağmen ciddi
komplikasyonlara neden olabilen
enfeksiyoz bir hastalıktır. İmmün Trombositopenik
Purpura (ITP) genellikle
çocuklarda kendi kendini sınırlayan bir hastalıktır. ITP, antikor kaplı veya
immün kompleksle kaplanmış trombositlerin retiküloendotelyal sistem tarafından
prematür olarak yok edildiği ve periferik trombositopeni ile sonuçlanan
otoimmün bir bozukluktur. Primer ITP'de trombositopeni ile ilişkili iken
sekonder ITP'de durum diğer bozukluklarla (örn. Sistemik Lupus Eritematosuz,
HIV enfeksiyonu, VZV) ilişkilidir. Bu olgu sunumunda; önceden sağlıklı olan, VZV
enfeksiyonuna bağlı ITP gelişen ve İntravenöz immünoglobulin ile başarılı bir
şekilde tedavi edilen 7 yaşında bir olgu anlatılacaktır.
Kaynakça
- 1.Piqueras Arenas AI, Otero Reigada MC, Perez-Tamarit D et al. Hospitalizations for varicella in the Hospital Infantil La Fe, Valencia, Spain, 2001-2004. An Pediatr (Barc) 2005;63:120-124.
- 2.Koturoglu G, Kurugol Z, Cetin N. Complications of varicella in healthy children in Izmir, Turkey. Pediatr Int 2005;47: 296-99.
- 3.Demirören K, Demirören S, Aydın M. Immune Thrombocytopenic Purpura Following Varicella: A Case Report. Fırat University Health Sciences Medical Journal. 2007;21:137-40
- 4.Miller E, Marshall R, Vurdien J. Epidemiology, outcome and control of varicella-zoster infection. Rev Med Microbiol. 1993;4:222–30.
- 5.Rand ML, Wright JF. Virus-associated idiopathic thrombocytopenic purpura. Transfusion Science. 1998;19:253-59.
- 6.White CJ. Varicella-virus virus vaccine. Clinical Infectious Diseases 1997;24:753–63
- 7.Smíšková D, Blechová Z, Polanecká L, Zítová J, Podojilová M, Smíšek P. Immune thrombocytopenia as a complication of acute infectious diseases - case reports. Klin Mikrobiol Infekc Lek. 2013;19:15-8.
- 8. Yenicesu I, Yetgin S, Ozyürek E, Aslan D. Virus-associated immune thrombocytopenic purpura in childhood. Pediatr Hematol Oncol. 2002;19:433-37.
- 9. Enders G, Miller E, Cradock-Watson J, Bolley I, Ridehalgh M. Consequences of varicella and herpes zoster in pregnancy: prospective study of 1739 cases. Lancet 1994;343:1548–51.
- 10.Jaeggi A, Zurbruegg RP, Aebi C. Complications of varicella in a defined central European population. Archives of Disease in Childhood 1998;79:472–77.
- 11.Koturoglu G , Kurugol Z, Turkoglu E . Seroepidemiology of varicella-zoster virus and reliability of varicella history in Turkish children, adolescents and adults . Paediatr Perinat Epidemiol. 2011;25:388–93.
- 12.İncecik F, Önlen Y, Leblebisatan G. Immune Thrombocytopenic Purpura after Varicella Infection: Case Report. Dicle Medical Journal. 2008;3:138-40.
- 13.Yalçın AS, Coşkun E, Uyanık H, Bay A. Immune thrombocytopenic purpura following Varicella zoster infection. Journal of Clinical and Experimental Investigations. 2011;2:85-7.
- 14.Rentier B, Gershon AA. Members of European Working Group on Varicella (EuroVar). Consensus: varicella vaccination of healthy children. The Pediatric Infectious Disease Journal 2004;23:379–89.