Case 11 – update 3

The case starts just below here! – click https://teamhaem.wordpress.com/2013/06/16/case-11/

Further blood tests reveal normal B12 and folate.  Ferritin is low at 9ug/L.  Clotting screen is normal.  There are no signs of major bleeding.

HIV, hepatitis B/C and an autoimmune screen have been sent.  The patient is reluctant to provide a stool sample for Helicobacter Pylori.

The current working diagnosis is immune thrombocytopenic purpura (ITP) with iron deficiency.

Questions:

  • Any further tests?  Do you perform a bone marrow?
  • What is your management now?
  • Do you discharge the patient home?
  • Please reply on Twitter and include #TeamHaem

Please reply on Twitter and always include #teamhaem to allow others to follow your comments. Please join in the debate and learn about haematological problems along the way. The case will continue to  evolve over the coming week so keep checking #teamhaem for more information.

Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.

About TeamHaem

Online education and discussion about all things haematological
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