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© Thomson Reuters, Journal Citation Reports, 2015

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  • Factor de Impacto: 0,800(2015)
  • 5-años Factor de Impacto: 0,753
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doi: 10.1016/S0210-5705(03)70478-6
Púrpura trombocitopénica idiopática como manifestación extraintestinal de la enfermedad de Crohn
Idiopathic thrombocytopenic purpura as an extraintestinal manifestation of crohn's disease
N.Manceñido Marcosa,, , J.C.Erdozain Sosaa, R.Pajares Villarroyaa, J.R.Paño Pardob, P.González Sanz-Ageroa, F.J.Navajas Leóna, D.Hervías Cruza, M.Herrera Mercadera, A. Kassema, C.Froilán Torresa, M.D.Martín Arranza, J.M.Suárez de Pargaa, J.M.Segura Cabrala
a Servicio de Aparato Digestivo. Hospital Universitario La Paz. Madrid. España
b Servicio de Medicina Interna. Hospital Universitario La Paz. Madrid. España
Recibido 16 diciembre 2003, Aceptado 23 febrero 2004
Resumen
Resumen

La púrpura trombocitopénica idiopática es una manifestación extraintestinal poco frecuente de la enfermedad inflamatoria intestinal, y sobre todo es rara en la enfermedad de Crohn, donde presenta ciertas peculiaridades respecto a su clínica habitual, de tal manera que ocurre con más frecuencia cuando la enfermedad de Crohn es de predominio colónico, suele aparecer un tiempo después del diagnóstico de ésta y, además, complica el curso clínico de ambas enfermedades. En este trabajo se presenta un caso de enfermedad de Crohn asociada a púrpura trombocitopénica idiopática, en una mujer de 14 años en la que la púrpura trombocitopénica idiopática se inició de forma simultánea a la enfermedad de Crohn, con mala evolución clínica y resistencia a los tratamientos habituales de ambas enfermedades.

Resumen

Idiopathic thrombocytopenic purpura is an infrequent extraintestinal manifestation of inflammatory bowel disease. It is particularly rare in association with Crohn's disease. In these cases it presents certain peculiarities with respect to its normal clinical features, occurring more frequently when Crohn's disease is mainly colonic and usually appearing after the diagnosis of Crohn's disease has been made. Moreover, it usually complicates the clinical course of both diseases. We present a case of idiopathic thrombocytopenic purpura in a 14-year-old girl in whom the two diseases first presented simultaneously. The clinical course was poor and both diseases were refractory to habitual treatment.

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Correspondencia: Dra. N. Manceñido Marcos. Tumaco 14, ático A. 28027 Madrid. España.
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