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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
1
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pubmed:dateCreated |
1990-5-8
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pubmed:abstractText |
Severe thrombocytopenia (TP) accounted for 5.3% of cases in a consecutive series of 380 HIV-infected intravenous drug users (IVDUs) at presentation. Forty-one of 53 subjects with severe TP showed haemorrhages and were treated as follows: ten were splenectomized, 17 were given high-dose intravenous immunoglobulins (HDIg), and 10 received anti-Rh(D) immunoglobulins (anti-Rh Ig). Splenectomy induced a complete clinical response in all cases: four out of 10 patients maintained platelet counts greater than 100 x 10(9)/l. HDlg gave a good clinical response in all patients, but eight out of 17 suffered haemorrhages during the follow-up and recall treatments were necessary. Six out of 10 patients treated with anti-Rh lg maintained platelet counts greater than 30 x 10(9)/l, but in two cases the treatment was interrupted because of severe haemolysis. No patient progressed to overt AIDS during the follow-up. Splenectomized patients in particular did not show adjunctive risks of worsening of the HIV-related clinical picture. A platelet kinetic study performed in 20 patients with severe HIV-related TP suggests a possible role for platelet sequestration in TP of HIV-infected IVDUs, in which a liver involvement is very frequent.
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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 |
0269-9370
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pubmed:author | |
pubmed:issnType |
Print
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pubmed:volume |
4
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pubmed:owner |
NLM
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pubmed:authorsComplete |
N
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pubmed:pagination |
29-34
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pubmed:dateRevised |
2004-11-17
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pubmed:meshHeading |
pubmed-meshheading:2156528-Adult,
pubmed-meshheading:2156528-Female,
pubmed-meshheading:2156528-Follow-Up Studies,
pubmed-meshheading:2156528-HIV Infections,
pubmed-meshheading:2156528-Humans,
pubmed-meshheading:2156528-Immunoglobulin G,
pubmed-meshheading:2156528-Immunoglobulins,
pubmed-meshheading:2156528-Infusions, Intravenous,
pubmed-meshheading:2156528-Male,
pubmed-meshheading:2156528-Platelet Count,
pubmed-meshheading:2156528-Prevalence,
pubmed-meshheading:2156528-Rho(D) Immune Globulin,
pubmed-meshheading:2156528-Splenectomy,
pubmed-meshheading:2156528-Substance Abuse, Intravenous,
pubmed-meshheading:2156528-Thrombocytopenia
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pubmed:year |
1990
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pubmed:articleTitle |
HIV-related severe thrombocytopenia in intravenous drug users: prevalence, response to therapy in a medium-term follow-up, and pathogenetic evaluation.
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pubmed:affiliation |
Department of Haematology, Ospedale Niguarda, Milan, Italy.
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pubmed:publicationType |
Journal Article
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