A Pregnant Woman with Complications of Lymphangioleiomyomatosis and Idiopathic Thrombocytopenic Purpura
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- Toyoda Kazuhiro
- The Research Institute for Diseases of the Chest
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- Matsumoto Koichiro
- The Research Institute for Diseases of the Chest
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- Inoue Hiromasa
- The Research Institute for Diseases of the Chest
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- Komori Masashi
- The Research Institute for Diseases of the Chest
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- Fujita Masaki
- The Research Institute for Diseases of the Chest
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- Hashimoto Shuichi
- the Pathophy siological and Experimental Pathology, Department of Pathology, Graduate School of Medical Sciences, Kyushu University
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- Kuwano Kazuyoshi
- The Research Institute for Diseases of the Chest
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- Nakanishi Yoichi
- The Research Institute for Diseases of the Chest
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A pregnant 26-year-old woman developed hemosputum, dyspnea and pneumothorax. Lymphangioleiomyomatosis was suspected based on multiple cystic lesions on chest computed tomography. Additionally, moderate thrombocytopenia occurred during the last trimester. Hyperplasia of megakaryocytes in a bone marrow specimen and a high serum titer of platelet-associated IgG led to a diagnosis of idiopathic thrombocytopenic purpura. High-dose intravenous gammaglobulin promptly restored her platelet count, and the patient successfully gave birth to a healthy baby by cesarean section. After delivery, lymphangioleiomyomatosis was diagnosed by lung biopsy that was obtained during a video-assisted thoracoscopic abscission for recurrent pneumothorax. Underlying lymphangioleiomyomatosis and idiopathic thrombocytopenic purpura may be obviated by pregnancy.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 45 (19), 1097-1100, 2006
一般社団法人 日本内科学会
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詳細情報 詳細情報について
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- CRID
- 1390282679850215680
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- NII論文ID
- 130000076430
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- ISSN
- 13497235
- 09182918
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- 本文言語コード
- en
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- データソース種別
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- JaLC
- Crossref
- CiNii Articles
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- 抄録ライセンスフラグ
- 使用不可
