小结
鉴别诊断
常见
- 单纯性紫癜
- 光化性紫癜（也称为老年性紫癜）
- 药物治疗
- 酒精使用障碍
- 药物诱导的血小板减少症
- 血小板贮池疾病
- 血管性血友病（VWD）
- 维生素 K 缺乏
- 肝硬化
- 血管炎
不常见
- 遗传性出血性毛细血管扩张
- 库欣综合征
- 虐待儿童
- 虐待老人
- 免疫性血小板减少症 (ITP)
- 血栓性血小板减少性紫癜 (TTP)
- 溶血尿毒症综合征 (HUS)
- 弥散性血管内凝血
- Wiskott-Aldrich 综合征
- MYH9 相关疾病
- Bernard-Soulier 病
- 血小板减少症伴桡骨缺失综合征
- 血小板无力症
- 急性髓性白血病
- 急性淋巴细胞白血病
- 霍奇金淋巴瘤
- 非霍奇金淋巴瘤
- 多发性骨髓瘤
- 实体瘤伴骨髓浸润
- 骨髓纤维化
- 骨髓增生异常综合征
- 再生障碍性贫血
- 血友病
- V、VII、X 或 XI因子缺乏症
- 获得性凝血抑制物
- 维生素 C 缺乏症
- 马凡综合征
- Ehlers-Danlos 综合征
- 急性肝衰竭
- 加德纳-戴蒙德综合征
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.
指南
- 初级卫生保健中对出血和瘀斑的临床评估
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