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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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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
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author Lorenzo-Villalba, Noel
Zulfiqar, Abrar-Ahmad
Auburtin, Marc
Schuhmacher, Marie Helene
Meyer, Alain
Maouche, Yasmine
Keller, Olivier
Andres, Emmanuel
author_facet Lorenzo-Villalba, Noel
Zulfiqar, Abrar-Ahmad
Auburtin, Marc
Schuhmacher, Marie Helene
Meyer, Alain
Maouche, Yasmine
Keller, Olivier
Andres, Emmanuel
author_sort Lorenzo-Villalba, Noel
collection PubMed
description 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.
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spelling pubmed-72799092020-06-09 Thrombocytopenia in the Course of COVID-19 Infection Lorenzo-Villalba, Noel Zulfiqar, Abrar-Ahmad Auburtin, Marc Schuhmacher, Marie Helene Meyer, Alain Maouche, Yasmine Keller, Olivier Andres, Emmanuel Eur J Case Rep Intern Med Articles 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. SMC Media Srl 2020-05-07 /pmc/articles/PMC7279909/ /pubmed/32523922 http://dx.doi.org/10.12890/2020_001702 Text en © EFIM 2020 This article is licensed under a Commons Attribution Non-Commercial 4.0 License (https://creativecommons.org/licenses/by-nc/4.0/)
spellingShingle Articles
Lorenzo-Villalba, Noel
Zulfiqar, Abrar-Ahmad
Auburtin, Marc
Schuhmacher, Marie Helene
Meyer, Alain
Maouche, Yasmine
Keller, Olivier
Andres, Emmanuel
Thrombocytopenia in the Course of COVID-19 Infection
title Thrombocytopenia in the Course of COVID-19 Infection
title_full Thrombocytopenia in the Course of COVID-19 Infection
title_fullStr Thrombocytopenia in the Course of COVID-19 Infection
title_full_unstemmed Thrombocytopenia in the Course of COVID-19 Infection
title_short Thrombocytopenia in the Course of COVID-19 Infection
title_sort thrombocytopenia in the course of covid-19 infection
topic Articles
url 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
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