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http://dx.doi.org/10.22246/jikm.2021.42.5.1074

A Suspected Case of Idiopathic Thrombocytopenic Purpura - A Case Report  

Kim, Soo-hyun (Dept. of Korean Medicine, College of Korean Medicine, Woo-Suk University)
Seo, In-kyo (Joong-san Korean Medicine Clinic)
Jeong, Hye-in (Dept. of Preventive Medicine, College of Korean Medicine, Kyung Hee University)
Kim, Jun-hyung (Sunchang Health Center and County Hospital)
Jeon, Sang-woo (Dept. of Internal Medicine, College of Korean Medicine, Woo-Suk University)
Ahn, Su-bin (Dept. of Internal Medicine, College of Korean Medicine, Woo-Suk University)
Kang, Sei-young (Dept. of Internal Medicine, College of Korean Medicine, Woo-Suk University)
Publication Information
The Journal of Internal Korean Medicine / v.42, no.5, 2021 , pp. 1074-1081 More about this Journal
Abstract
Objectives: This study demonstrated the positive effect of herbal medication on a suspected idiopathic thrombocytopenic purpura (ITP) patient-a 57-year-old male with suspected ITP and a decreased platelet count. Methods: The patient was treated with an herbal medicine named Nokyongdaebo-tang, and its effect was measured with periodic platelet blood tests. Results: Before taking the herbal medicine, the patient's blood platelet count was 98 K/μl, but following treatment, the blood platelet count increased to 201 K/μl and maintained a continuously elevated level. Conclusion: The results indicated that herbal medication may improve the blood platelet count of suspected ITP patients.
Keywords
idiopathic thrombocytopenic purpura (ITP); herbal medicine; case report; Nokyongdaebo-tang;
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  • Reference
1 Koller CA. Immune thrombocytopenic purpura. Med Clin North Am 1980;64(4):761-73.   DOI
2 Won DI, Kim HM, Shim YH, Yoon KJ. The Laboratory Findings and the Usefulness of Routine Bone Marrow Examination in Idiopathic Thrombocytopenic Purpura. The Korean journal of hematology 2000;35(1):7-12.
3 Cines DB, Mcmilan R. Management of adult idiopatic thrombo-cytopenic purpura. Annu Rev Med 2005;56:425-42.   DOI
4 Park SK. Special Review : An interpretation on abnormal finding of CBC. The Korean Journal of Medicine 2010;78(5):531-9.
5 Fauci, Anthony S, Braunwald, Eugene, Kasper, Dennis, et al. Harrison's principles of internal medicine. Vol. 1 19th ed. New York: McGraw-Hill book Co; 2020, p. 1135-7.
6 Caldwell SH, Han KH, Hess CE. Guidelines for idiopathic thrombocytopenic purpura. Ann Int Med 1997;127(7):572-3.   DOI
7 전국한의과대학 간계내과학교수 공저. 肝系內科學. 동양의학연구소: 나도; 2001, p. 608-13.
8 Kapur R, Aslam R, Speck ER, Rebetz JM, Semple JW. Thrombopoietin receptor agonist (TPO-RA) treatment raises platelet counts and reduces anti-platelet antibody levels in mice with immune thrombocytopenia (ITP). Platelets 2020;31(3):399-402.   DOI
9 Godeau B, Proban D. Immune thrombocytopenic purpura in adults. Curr Opin Hematol 2007;14(5):535-56.   DOI
10 Neunert C, Terrell DR, Arnold DM, Buchanan G, Cines DB, Cooper N, et al. American Society of Hematology 2019 guidelines for immune thrombocytopenia. Blood Adv 2019 10;3(23):3829-66.   DOI
11 張霆. 治療ITP應用大黃之心得. 江蘇中醫藥 2003;24(1):40-1.
12 Hong SH, Kim SH. A Clinical Case of Dermatomyositis Complicated by Henoch-Schonlein Purpura. Korean Oriental Medical Society 2002;23(2):413-8.
13 瞿亞德. 中西醫結合治療血小板減少性紫癜40例. 四川中醫. 1997;15(3):28.
14 鄭雄, 周芝彬. 中西醫結合治療原發聲血小板減少性紫斑88例療效觀察. 國際醫藥衛生導報. 2006;12(6):95-6.
15 Difino SM, Lachant NA, Krishner JJ, Gottlieb AJ. Adult idiopathic thrombocytopenic purpura. Clinical findings and response to therapy. AM J Med 1980;69(3):430-42.   DOI
16 Park SY. Therapeutic Advances in Refractory Idiopathic Throinbocytopenic Purpura. The Korean journal of hematology 1986;21(1):81-4.