JOSEPH HERMAN, M.D.
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To the editor: The report by Rodgers and Ries (1) of a case of refractory idiopathic thrombocytopenic purpura raises the question of their patient's thryroid status.
A review of the literature up to the end of 1977 (2) revealed 49 case reports of an association between thyrotoxicosis and thrombocytopenia. In 37 patients the disorders ran concurrently, and in 29 the connection between the two appeared "primary" in that no drugs capable of inducing thrombocytopenia had been administered before diagnosis and no other diseases were identified. Twenty-two patients were treated for hyperthyroidism, and in 18 the thrombocyte count returned to normal
HERMAN J. Thrombocytopenic Purpura and Thyroid Disease. Ann Intern Med. ;93:934. doi: 10.7326/0003-4819-93-6-934_1
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Published: Ann Intern Med. 1980;93(6):934.
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