A Case Of Acute Coronary Syndrome After Splenectomy In An Idiopathic Thrombocytopenic Purpura Patient

Yıl 2016, Cilt: 8 Sayı: 2, 89 - 92, 24.07.2016

Zehra Baykal

Öz

Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease characterised by decreased thrombocyte count due to antithrombocyte IgG production, increased megacaryocte count in bone marrow and decreased thrombocyte life span. Thrombocytes have a key role in pathogenesis of acute coronary syndrome. Size, density or activities of thrombocytes might trigger acute coronary syndrome. In this case report, we hope to attract attention to acute vascular complications that might develop after splenectomy, by reporting acute coronary syndrome developed in the 48 hours following splenectomy in an ITP patient,

Dr. Necla DERELİ
Dr. Zehra BAYKAL TUTAL
Dr. Esra ÖZAYAR
Dr. Mehtap KONCA
Dr. Mehmet ŞAHAP
Dr. Eyüp HORASANLI

Anahtar Kelimeler

TP, acute coronary syndrome, splenectomy

İdiopatik Trombositopenik Purpurali Hastada Splenektomiden Sonra Gelişen Akut Koroner Sendrom: Olgu Sunumu

Öz

İdiopatik trombositopenik purpura (ITP), antitrombosit IgG üretimi, kemik iliğinde artmış megakaryosit sayımı ve azalmış trombosit ömrüne bağlı trombosit sayısının azalmasıyla karakterize otoimmün bir hastalıktır. Trombositler akut koroner sen-dromun patogenezinde anahtar rolü bulunmaktadır. Trombositlerin çapı, dansitesi ve aktiviteleri akut koroner sendromu tetikleyebilir. Bu vaka sunumunda, ITP’li hastada splenektomiden 48 saat sonra gelişen akut koroner sendromu sunarak, splenek-tomi sonrası gelişebilecek akut vasküler komplikasyonlara dikkat çekmek istedik.

Dr. Necla DERELİ
Dr. Zehra BAYKAL TUTAL
Dr. Esra ÖZAYAR
Dr. Mehtap KONCA
Dr. Mehmet ŞAHAP
Dr. Eyüp HORASANLI

Anahtar Kelimeler

ITP, akut koroner sendrom, splenektomi

Kaynakça

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