Korean Journal of Gastrointestinal Endoscopy 2011;42(4): 241-244.
특발혈소판감소자색반병 환자에서 발생된 위점막 출혈 1예
김도형ㆍ권창일ㆍ정준구ㆍ박웅ㆍ김용훈ㆍ강혜윤*ㆍ고광현ㆍ오도연
CHA 의과학대학교 내과학교실, *병리학교실
Gastric Mucosal Hemorrhage in a Patient with Idiopathic Thrombocytopenic Purpura
Do Hyung Kim, M.D., Chang-Il Kwon, M.D., Jun Gu Chung, M.D., Woong Park, M.D., Yong Hun Kim, M.D., Haeyoon Kang, M.D.*, Kwang Hyun Ko, M.D. and Doyeun Oh, M.D.
Departments of Internal Medicine and *Pathology, CHA University, Seongnam, Korea
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. (Korean J Gastrointest Endosc 2011;42:241-244)
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