内視鏡下副鼻腔手術後に鼻出血にて判明した急性特発性血小板減少性紫斑病の 1 例

DOI
  • 安井 徹郎
    国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科
  • 中条 恭子
    国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科
  • 山内 盛泰
    国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科
  • 久保田 万理恵
    国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科
  • 安松 隆治
    国家公務員共済組合連合会浜の町病院耳鼻咽喉科・頭頸部外科

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タイトル別名
  • A case of nosebleed because of acute idiopathic thrombocytopenic purpura after endoscopic sinus surgery

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Acute idiopathic thrombocytopenic purpura (AITP) is a condition caused as a result of platelet aggregation due to antiplatelet antibodies, which transport platelets into the reticuloendothelial system. An 81-year-old female was diagnosed with AITP with nasal bleeding after endoscopic sinus surgery (ESS). No abnormal findings were seen in the preoperative testing and the previous history in this case, so the invasive surgery and treatment were examined as the cause of the decrease in platelets. A variety of treatment methods were examined to ameliorate the AIPT, and this case was successfully treated with a steroid and gamma globulin. As a result, the treatment response was excellent.

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