İSMAİL HANTA, GÜLSÜM TEZÇAĞIRIR, SEDAT KULECİ
Turkish Respiratory Journal - 2008;9(1):51-52
We report a 46 year-old male patient who admitted to our clinic with massive hemoptysis, epistaxis, and generalized petechiae. A diagnosis of immune thrombocytopenic purpura was established according to clinical and laboratory findings including bone marrow aspiration. Intravenous immune globulin (IVIg) and methylprednisolone therapy were started. In the folow-up, the patient was found to have clinical, microbiological and radiological evidence of active pulmonary tuberculosis. No platelet response was achieved to IVIG and methylprednisolone therapy and anti-tuberculous drugs were given. By the end of the first week, hemoptysis, epistaxis, and generalized petechiae resolved and platelet counts returned normal levels after four-weeks of treatment.
