The Management of Lupus Thrombocytopenia in Poly Trauma Patient

Ye,  Jin Bong; Sul,  Young Hoon; Go,  Seung Je; Choi,  Jung Hee; Kim,  Joong Suck

doi:2017.30.2.59

J Trauma Inj > Volume 30(2); 2017 > Article

Case Report

Journal of Trauma and Injury 2017;30(2):59-62.
DOI: https://doi.org/10.20408/jti.2017.30.2.59 Published online June 30, 2017.

The Management of Lupus Thrombocytopenia in Poly Trauma Patient

Jin Bong Ye, Young Hoon Sul, Seung Je Go, Jung Hee Choi, Joong Suck Kim

¹Department of Trauma Surgery, Chungbuk National University Hospital, Cheongju, Korea. ssulyh@gmail.com
²Department of Anesthesiology and Pain Medicine, Chungbuk National University Hospital, Cheongju, Korea.
³Department of Trauma Surgery, Cheju Halla General Hospital, Jeju, Korea.

Received: 21 April 2017 • Revised: 24 April 2017 • Accepted: 24 April 2017

Abstract

Lupus thrombocytopenia is a common clinical manifestation in systemic lupus erythematosus (SLE). It may present to clinicians with considerable therapeutic difficulties. We experienced a 40-year-old poly trauma patient with lupus thrombocytopenia who had been treated with immunosuppressive drugs for SLE. She was treated for refractory thrombocytopenia with platelet transfusion, corticosteroid and Intravenous immunoglobulin (IVIG). Fourteen days after admission, her platelet count started to increase, 101×103/ul at 16 days after admission. Trauma patients may carry various underlying diseases and thus trauma surgeons should always be aware and ready for peculiar situations.

Key Words: Lupus thrombocytopenia; Systemic lupus erythematosus; Poly trauma