Avtor/Urednik     Glaser, Marjana
Naslov     Pojav trombotične trombocitopenične purpure pri bolniku s karcinomom
Prevedeni naslov     Thrombotic thrombocytopenic purpura in patients suffering of cancer
Tip     članek
Vir     Zdrav Vestn
Vol. in št.     Letnik 71, št. 7-8
Leto izdaje     2002
Obseg     str. 433-5
Jezik     slo
Abstrakt     Background. Thrombotic thrombocytopenic purpura (TTP) is a rare group of symptoms, characterized by microangiopathic haemolytic anemia, thrombocytopenia, neurological symptoms, fever and renal affection. Beside other causes, TTP is a rare symptom in cancer. TTP must be treated immediately and it is necessary to search for its cause. Patients. In the article two patients with acute TTP are represented. When searching for the reason of TTP, in first patient gastric carcinoma and in second patient peritoneal carcinosis and later breast carcinoma were established. Before surgical treatment, both patients were treated with repeated plasmapheresis. Conclusions. Treatment of acute from of TTP in cancer patients is the same as in other diseases, especially to softening the symptoms and to make possible the surgical treatment. Further course of TTP depends on disease extension.
Izvleček     Izhodišča. Trombotična trombocitopenična purpura (TTP) je skupek bolezenskih znakov, za katere so značilni mikroangiopatična hemolitična anemija, trombocitopenija, nevrološki znaki, zvišana telesna temperatura in prizadetost ledvic. Redko opazujemo pojav TTP pri karcinomih. TTP je potrebno začeti zdraviti takoj in poiskati njen vzrok. Bolniki. V sestavku sta predstavljeni dve bolnici, ki sta zboleli z akutno obliko TTP. Pri iskanju vzroka bolezni smo pri prvi bolnici ugotovili želodčnega raka, pri drugi pa karcinozo peritoneja in kasneje raka na obeh dojkah. Pred operativnim posegom smo ju zdravili s plazmaferezami. Zaključki. Akutno TTP pri karcinomu zdravimo enako kot pri drugih vzrokih predvsem zato, da zmanjšamo težave in pripravimo bolnika na operativni poseg. Nadaljni potek je odvisen od razširjenosti karcinoma in uspešnosti operativnega posega.
Deskriptorji     PURPURA, THROMBOTIC THROMBOCYTOPENIC
STOMACH NEOPLASMS
BREAST NEOPLASMS
MIDDLE AGE