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


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