L'esperienza che insegna
Prima la piastrinopenia poi l’embolia polmonare
Thrombocytopoenia followed by pulmonary embolism
Federico Marchetti, Caterina Radice, Loretta Biserna, Anna Chiara Nuzzo*, Lorenzo Mambelli
UOC di Pediatria e Neonatologia, *UOC di Cardiologia, Ospedale di Ravenna,
AUSL della Romagna
Dicembre 2019 - pagg. 631 -633
Abstract
The paper describes the case of a 17-year-old girl presenting with an initial diagnosis of
severe idiopathic thrombocytopoenic purpura with negative ANA and positive Coombs
test. After a first phase characterised by thrombocytopeonia with haemorrhagic manifestations,
she developed a thrombotic event (pulmonary embolism) with a normal number
of platelets, positive LAC, and anti-cardiolipin and anti-beta2-glycoprotein antibodies.
Eventually, an anti-phospholipid antibody syndrome was diagnosed. The described case
shows the complexity of a disease that resembles systemic lupus erythematosus but does
not have the criteria to be diagnosed as such.
Parole chiave
Suggerite dall'AI
Classificazione MeSH
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Bibliografia
di riferimento
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Corrispondenza: federico.marchetti@auslromagna.it