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Immune Thrombocytopenia: A Rare Presentation of Pulmonary Sarcoidosis

2021; SMC MEDIA SRL; Linguagem: Inglês

10.12890/2021_003060

2284-2594

Mariana da Silva Leal, Carolina Amado, Bárbara Paracana, Flávio Pereira, Mariana Pacheco de Sousa, Aurora Mendes,

Drug-Induced Adverse Reactions

Thrombocytopenia may be the initial presentation of sarcoidosis, which is a systemic granulomatous disorder. Various pathophysiological mechanisms have been identified. Immune thrombocytopenia often has a severe presentation but may respond favourably to immunosuppressive therapy. There are no guidelines for the treatment of thrombocytopenia in sarcoidosis. However, in emergency situations with major bleeding, it seems reasonable to apply the current guidelines recommended for immune thrombocytopenia. The authors report a case of sarcoidosis presenting with severe thrombocytopenia, petechial rash, and nasal and gingival bleeding.