Kevin K. Chung, MD; Louis R. Macareo, MD; Teresa A. Coleman, MD
The Editors welcome submissions for possible publication in the Letters section. Authors of letters should:
•Include no more than 300 words of text, three authors, and five references
•Type with double-spacing
•Send three copies of the letter, an authors' form signed by all authors, and a cover letter describing any conflicts of interest related to the contents of the letter.
Letters commenting on an Annals article will be considered if they are received within 6 weeks of the time the article was published. Only some of the letters received can be published. Published letters are edited and may be shortened; tables and figures are included only selectively. Authors will be notified that the letter has been received. If the letter is selected for publication, the author will be notified about 3 weeks before the publication date. Unpublished letters cannot be returned.
Annals welcomes electronically submitted letters.
Chung KK, Macareo LR, Coleman TA. Idiopathic Thrombocytopenic Purpura in a 101-Year-Old Woman. Ann Intern Med. 2001;135:70-71. doi: 10.7326/0003-4819-135-1-200107030-00040
Download citation file:
Published: Ann Intern Med. 2001;135(1):70-71.
TO THE EDITOR:
A 101-year-old woman, born on 25 December 1898, presented to our institution with a 2-day history of general weakness and presyncope. The platelet count was 0.0014 × 109 cells/L, hemoglobin and leukocyte counts were normal, and review of the peripheral smear revealed no clumping or schistocytes. Five months before admission, the patient had a normal platelet count. Her medical history was significant only for hypertension and glaucoma. She was taking calcium carbonate, hydrochlorothiazide, lisinopril, docusate, doxazosin, and acetaminophen and had not received any recent transfusions or intravenous fluids. Physical examination revealed several areas of ecchymoses and petechia on her trunk and upper extremities; lymphadenopathy and hepatosplenomegaly were not present. Findings on computed tomography of the head, serum chemistry tests, and coagulation studies were normal. A presumptive diagnosis of immune thrombocytopenia was made.
to gain full access to the content and tools.
Learn more about subscription options.
Register Now for a free account.
Copyright © 2016 American College of Physicians. All Rights Reserved.
Print ISSN: 0003-4819 | Online ISSN: 1539-3704
Conditions of Use
This PDF is available to Subscribers Only