M. A. KOSMO, M.D.; G. BORDIN, M.D.; P. TANI, B.A.; R. MCMILLAN, M.D.
To the editor: Immune thrombocytopenia is sometimes associated with other immune-related diseases (1-3). We report a case of Crohn's disease associated with immune thrombocytopenia.
A 65-year-old woman with Crohn's disease since 1950 has a left hemicolectomy and colostomy in 1953 and a right hemicolectomy with an ileosigmoid anastomosis in 1971. Her blood counts were normal until March 1978, when she developed bloody diarrhea. Laboratory findings at that time were a platelet count of 100 000/µL, hemocrit of 31%, and leukocyte count of 9000/µL. She was started on a regimen of prednisone (40 mg/d), hydrocortisone enemas, and sulfasalazine. Her symptoms alleviated,
KOSMO MA, BORDIN G, TANI P, MCMILLAN R. Immune Thrombocytopenia and Crohn's Disease. Ann Intern Med. ;104:136. doi: 10.7326/0003-4819-104-1-136_1
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Published: Ann Intern Med. 1986;104(1):136.
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