Gastric Mucosal Hemorrhage in a Patient with Idiopathic Thrombocytopenic Purpura.
- Author:
Do Hyung KIM
1
;
Chang Il KWON
;
Jun Gu CHUNG
;
Woong PARK
;
Yong Hun KIM
;
Haeyoon KANG
;
Kwang Hyun KO
;
Doyeun OH
Author Information
1. Department of Internal Medicine, CHA University, Seongnam, Korea. endoscopy@cha.ac.kr
- Publication Type:Case Report
- Keywords:
Purpura;
Thrombocytopenia;
Gastrointestinal hemorrhage
- MeSH:
Antibodies;
Biopsy;
Blood Platelets;
Edema;
Erythrocytes;
Gastrointestinal Hemorrhage;
Helicobacter pylori;
Hemorrhage;
Humans;
Platelet Count;
Purpura;
Purpura, Thrombocytopenic, Idiopathic;
Thrombocytopenia;
Vasculitis
- From:Korean Journal of Gastrointestinal Endoscopy
2011;42(4):241-244
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Idiopathic thrombocytopenic purpura (ITP) is an autoimmune condition in which antibodies react against platelets and cause platelet destruction and bleeding that rarely results in gastrointestinal bleeding. Even though it is still controversial, a recent study suggested that Helicobacter pylori is one of the causes of ITP, and that eradication of H. pylori may be helpful for improving platelet count. We report a case of isolated gastric mucosal hemorrhage not related to H. pylori infection in a patient with ITP. A gastric mucosal biopsy revealed mild lamina proprial edema and extravasated red blood cells but no evidence of vasculitis or inflammatory cell infiltration. Thrombocytopenia can lead to a gastric mucosal hemorrhage not related to an H. pylori infection when treating patients with ITP.
