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CASE REPORT
Year : 2022  |  Volume : 17  |  Issue : 3  |  Page : 741-743

Immune thrombocytopenic purpura in an elderly male

Mahesh Mahadeviah1, Nikhil Ramdas Shinde2, Mamatha Shivanagappa3, Madhumitha Mahesh4
1 Professor of Medicine, JSS Hospital and Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
2 Junior Resident in Medicine, JSS Hospital and Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
3 Associate Professor of Obstetrics and Gynecology, JSS Hospital and Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India
4 MBBS Student, JSS Hospital and Medical College, JSS Academy of Higher Education and Research, Mysore, Karnataka, India

Correspondence Address:
Dr. Nikhil Ramdas Shinde
Shinde Hospital, New Jalna Road, At Post Taluka Deulgaon Raja, Dist. Buldhana 443 204, Maharashtra
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/jdmimsu.jdmimsu_187_20

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Idiopathic Thrombocytopenic Purpura (ITP) is an acquired disorder in which there is immune mediated destruction of platelets and also inhibition of platelet release from the megakaryocytes.[1] The features are by mucocutaneous bleeding and a low platelet count with an otherwise normal peripheral blood cells and smear. ITP is a heterogeneous disease with varying severity and clinical course. It is mainly a disorder of children. In adults the peak prevalence is between 20-50 years.[2] The clinical features in adults are different from those seen in children. ITP in persons above 60 years is being increasingly recognized in literature. ITP in elderly differs in its presentation, course and severity compared to its manifestations in younger adults. The response to treatment is different and the presence of co-morbid conditions such as diabetes, hypertension and ischemic heart disease needs to be kept in mind in the management algorithm.[3] A case of ITP in elderly is presented herewith with a brief review of literature.


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