THE MANAGEMENT OF THE AUTOIMMUNE THROMBOCYTOPENIA ASSOCIATED WITH CHRONIC MALIGNANT LYMPHOPROLIFERATIVE DISEASES

March 1, 2015

Oprea Mădălina Marilena 1, Ivănescu Ana-Maria 1, Coliță A. 1, 2, Turbatu A. 1, Coleș Elena 2, Lupu Anca Roxana 1, 2
1 Hematology Department – Colțea Clinical Hospital, Bucharest
2 “Carol Davila” University of Medicine and Pharmacy, Bucharest

Abstract

Autoimmune thrombocytopenia is a common immune hematologic complication associated with lymphoproliferative diseases, most frequent with chronic lymphocytic leukemia and non-Hodgkin’s Lymphomas . The relation between autoimmune cytopenias and lymphoproliferative malignancies is well known and the mechanisms are complex. Regarding the ethiology, one or more simultaneously occurring causes could leed to thrombocytopenia. We should make a very riguros clinical and paraclinical judgement in diagnosis of autoimmune thrombocytopenia and then, treat not only the number of platelets but also manage the risk of significant bleeding. Supportive care , corticosteroids and chemoimunotherapy are the currently used treatment , individualized for each pacient. The response to the lymphoma treatment is very good, and significant bleeding is rare.

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