Summary
鉴别诊断
常见
- Purpura simplex
- Actinic purpura (also known as senile purpura)
- Medications
- Alcohol use disorder
- Drug-induced thrombocytopenia
- Platelet storage pool disease
- von Willebrand disease (vWD)
- Vitamin K deficiency
- Cirrhosis
- Vasculitis
不常见
- Hereditary hemorrhagic telangiectasia (HHT)
- Cushing syndrome
- Child abuse
- Elder abuse
- Immune thrombocytopenia (ITP)
- Thrombotic thrombocytopenic purpura (TTP)
- Hemolytic uremic syndrome (HUS)
- Disseminated intravascular coagulation
- Wiskott-Aldrich syndrome
- MYH9-related disorders
- Bernard-Soulier disease
- Thrombocytopenia with absent radius syndrome
- Glanzmann thrombasthenia
- Acute myelogenous leukemia
- Acute lymphocytic leukemia
- Hodgkin lymphoma
- Non-Hodgkin lymphoma
- Multiple myeloma
- Solid tumor with infiltration of bone marrow
- Myelofibrosis
- Myelodysplastic syndrome
- Aplastic anemia
- Hemophilia
- Factor V, VII, X, or XI deficiency
- Acquired coagulation inhibitors
- Vitamin C deficiency
- Marfan syndrome
- Ehlers-Danlos syndrome
- Acute liver failure
- Gardner-Diamond syndrome
撰稿人
作者
Tzu-Fei Wang, MD
Assistant Professor of Internal Medicine
The Ohio State University
Columbus
OH
利益声明
TW declares that she has received an honorarium from Daiichi Sankyo.
Eric H. Kraut, MD
Professor of Internal Medicine
The Ohio State University
Columbus
OH
利益声明
EHK declares that he has no competing interests.
同行评议者
Donald M. Arnold, MDCM, MSc
Associate Professor
Department of Medicine
McMaster University
Hamilton
Ontario
Canada
利益声明
DMA has received speaking honoraria from Amgen for presentation on immune thrombocytopenia; consulting fees from Amgen, and Bristol-Myers Squibb for ITP related studies; and research grants from Amgen, GlaxoSmithKline, and Hoffman-La Roche for clinical studies in ITP. He is co-author of a reference cited in this topic.
Deborah Siegel, MD, MSc, FRCPC
Clinical Scholar
McMaster University
St. Joseph’s Healthcare Hamilton
Hamilton
Ontario
Canada
利益声明
DS declares that she has no competing interests.
Riten Kumar, MD, MSc
Assistant Professor of Pediatrics
Nationwide Children’s Hospital
Ohio State University
Columbus
OH
利益声明
RK declares that he has no competing interests.
David Keeling, BSc, MD, FRCP, FRCPath
Consultant Haematologist
Oxford Haemophilia & Thrombosis Centre
Churchill Hospital
Oxford
UK
利益声明
DK declares that he has no competing interests.
Professor Cheng-Hock Toh, MBChB, MD, FRCP, FRCPath
Professor of Haematology
University of Liverpool
Liverpool
UK
利益声明
CHT declares that he has no competing interests.
Shankaranarayana Paneesha, MBBS, MD, FRCP, FRCPath
Consultant Haematologist
Heart of England NHS Foundation Trust
Birmingham
UK
利益声明
SP has received a speaker fee from Janssen.
Peer reviewer acknowledgements
BMJ Best Practice topics are updated on a rolling basis in line with developments in evidence and guidance. The peer reviewers listed here have reviewed the content at least once during the history of the topic.
Disclosures
Peer reviewer affiliations and disclosures pertain to the time of the review.
参考文献
关键文献
Faughnan ME, Mager JJ, Hetts SW, et al. Second international guidelines for the diagnosis and management of hereditary hemorrhagic telangiectasia. Ann Intern Med. 2020 Dec 15;173(12):989-1001.全文 摘要
Tiede A, Collins P, Knoebl P, et al. International recommendations on the diagnosis and treatment of acquired hemophilia A. Haematologica. 2020 Jul;105(7):1791-801.全文 摘要
Neunert C, Terrell DR, Arnold DM, et al. American Society of Hematology 2019 guidelines for immune thrombocytopenia. Blood Adv. 2019 Dec 10;3(23):3829-66.全文 摘要
Rodeghiero F, Tosetto A, Abshire T, et al. ISTH/SSC bleeding assessment tool: a standardized questionnaire and a proposal for a new bleeding score for inherited bleeding disorders. J Thromb Haemost. 2010;8:2063-2065.全文 摘要
Platton S, Baker P, Bowyer A, et al. Guideline for laboratory diagnosis and monitoring of von Willebrand disease: a joint guideline from the United Kingdom Haemophilia Centre Doctors' Organisation and the British Society for Haematology. Br J Haematol. 2024 May;204(5):1714-31.全文
参考文献
A full list of sources referenced in this topic is available to users with access to all of BMJ Best Practice.
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