Anest. intenziv. Med. 2020;31(4):184-187 | DOI: 10.36290/aim.2020.025

Suspected immune thrombocytopenia associated with Crohn's diseaseCase Report

Reková L.¹, Bohoněk M.², Tyll T.¹

¹ Klinika anesteziologie, resuscitace a intenzivní medicíny 1. lékařské fakulty Univerzity Karlovy a Ústřední vojenské nemocnice - Vojenské fakultní nemocnice Praha

² Oddělení hematologie a krevní transfuze Ústřední vojenské nemocnice - Vojenské fakultní nemocnice Praha

The differential diagnosis of thrombocytopenia of critically ill patients with sepsis is often complicated and time-consuming. Apart from septic thrombocytopenia we have to consider also the immune thrombocytopenia. Immune thrombocytopenia may occur as a complication of servere acute infection especially in case of preexisting autoimmune or systemic disease. The leading symptoms are the decrease of platelet count and possible various haemorrhagic symptoms. In the acute phase the immunosuppressive therapy is indicated (corticosteroids) together with the complex intensive care treatment. We present a case report of suspect immune thrombocytopenia associated with Crohn's disease.

Keywords: immune thrombocytopenia, Crohn's disease, immunosuppressive therapy.

Received: March 12, 2020; Revised: June 9, 2020; Accepted: June 16, 2020; Prepublished online: June 26, 2020; Published: September 18, 2020  Show citation