Source:http://linkedlifedata.com/resource/pubmed/id/18260355
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
2008-2-11
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pubmed:abstractText |
Idiopathic thrombocytopenic purpura (ITP) is an autoimmune disease defined by a low platelet count secondary to accelerated platelet destruction by anti-platelet antibodies. The resulting bleeding diathesis can present a therapeutic dilemma. We have treated two cases of ITP in which ureteral stones were successfully extracted by transurethral ureterolithotripsy (TUL) and extracorporeal shock wave lithotripsy (ESWL) after high-dose gamma-globulin therapy. The first case was in a 52-year-old woman and the second case was in a 65-year-old woman. Intravenous pyelography revealed a left ureteral stone in the first case and bilateral ureteral stones in the second case. High-dose gamma-globulin therapy and platelet transfusion elevated their platelet counts to safe levels; TUL and ESWL were then performed successfully with no bleeding complications. This is the first case report of ITP being treated by ESWL after high-dose gamma-globulin therapy. High-dose gamma-globulin therapy effectively provides adequate platelet counts for surgical treatment in patients with ITP.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:chemical | |
pubmed:status |
MEDLINE
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pubmed:month |
Jan
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pubmed:issn |
0018-1994
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
54
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
17-22
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pubmed:meshHeading |
pubmed-meshheading:18260355-Aged,
pubmed-meshheading:18260355-Female,
pubmed-meshheading:18260355-Hemorrhage,
pubmed-meshheading:18260355-Humans,
pubmed-meshheading:18260355-Lithotripsy,
pubmed-meshheading:18260355-Middle Aged,
pubmed-meshheading:18260355-Purpura, Thrombocytopenic, Idiopathic,
pubmed-meshheading:18260355-Ureteral Calculi,
pubmed-meshheading:18260355-gamma-Globulins
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pubmed:year |
2008
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pubmed:articleTitle |
Transurethral ureterolithotripsy and extracorporeal shock wave lithotripsy in patients with idiopathic thrombocytopenic purpura.
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pubmed:affiliation |
Department of Urology, Kitasato University School of Medicine.
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pubmed:publicationType |
Journal Article,
Case Reports
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