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Thrombocytopenia in the Course of COVID-19 Infection

We report three cases of severe thrombocytopenia during COVID-19 infection associated with either cutaneous purpura or mucosal bleeding. The initial investigations ruled out other causes of thrombocytopenia. Two of the patients were treated with intravenous immunoglobulins and eltrombopag, while the...

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Detalles Bibliográficos
Autores principales: Lorenzo-Villalba, Noel, Zulfiqar, Abrar-Ahmad, Auburtin, Marc, Schuhmacher, Marie Helene, Meyer, Alain, Maouche, Yasmine, Keller, Olivier, Andres, Emmanuel
Formato: Online Artículo Texto
Lenguaje:English
Publicado: SMC Media Srl 2020
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7279909/
https://www.ncbi.nlm.nih.gov/pubmed/32523922
http://dx.doi.org/10.12890/2020_001702
Descripción
Sumario:We report three cases of severe thrombocytopenia during COVID-19 infection associated with either cutaneous purpura or mucosal bleeding. The initial investigations ruled out other causes of thrombocytopenia. Two of the patients were treated with intravenous immunoglobulins and eltrombopag, while the third recovered spontaneously. A good clinical and biological response was achieved in all patients leading to hospital discharge. LEARNING POINTS: Immune thrombocytopenia should be considered in COVID-19-infected patients presenting with thrombocytopenia. Coronavirus-related thrombocytopenia can be severe and life-threatening. Despite the severity of coronavirus-related immune thrombocytopenia, recovery may be spontaneous or achieved following immunoglobulin or platelet growth factor administration.