A case of immune thrombocytopenic purpura with prolonged aPTT time: A clotter hidden in a bleeder?
- Author:
Lee Mei HAN
1
;
Khoo Pei JIE
;
Gew Lai TECK
;
Ng Chen FEI
Author Information
1. Department of Medicine, Kuala Lumpur Hospital, Kuala Lumpur, Malaysia
- Publication Type:Case report
- From:
The Medical Journal of Malaysia
2017;72(6):365-366
- CountryMalaysia
- Language:English
-
Abstract:
We report the case of a 23-year-old woman who presentedwith prolonged menstruation and multiple bruises on thelimbs and trunk. Investigations revealed severethrombocytopenia and deranged coagulation profile withmarkedly prolonged activated partial thromboplastin time(aPTT). Lupus anticoagulant, anti-cardiolipin antibody andanti-beta-2-glycoprotein 1 antibody were positive. She wasdiagnosed with Immune Thrombocytopenic Purpura (ITP)with positive antiphospholipid antibody serology and givena course of intravenous methylprednisolone and taperingdoses of oral prednisolone. She was steroid free and had nobleeding or thrombotic event over two years follow up.
