TITLE:
Chronic Immune Thrombocytopenic Purpura in a Young Female with Rheumatoid Arthritis (Unusual Course)
AUTHORS:
Sara Elhadari, Asif Hashmi, Hani Hussein
KEYWORDS:
ITP, Immune Thrombocytopenic Purpura, Drug-Induced Thrombocytopenia, DITP, Pregnancy, Rheumatoid Arthritis
JOURNAL NAME:
Case Reports in Clinical Medicine,
Vol.7 No.11,
November
15,
2018
ABSTRACT: We present a case of a 29-year-old female from Sudan, who was diagnosed with rheumatoid arthritis (RA) in 2005 and with immune thrombocytopenic purpura (ITP) in 2009. The ITP immediately followed using, for four weeks, a combination of medications that included rifampicin. The platelets count continued to be low thereafter. During the year following her diagnosis with ITP, she reported gradual improvement in her joints symptoms, which continued during her pregnancy in 2011. Following puerperium, her chronic ITP resolved completely; however, her joint disease flared up few months later. To our knowledge, there are no reported cases of chronic ITP, which were drug induced at first in a patient of RA except with gold therapy. Similarly, there are no reports on cases that recovered from chronic ITP after delivery. Finally, this case highlights the impact different coexisting autoimmune diseases may have on each other regarding course and prognosis.