Functional studies of left upper quadrant mass aid management of idiopathic thrombocytopenic purpura.

Abstract:

:ITP (idiopathic thrombocytopenic purpura) causes rapid sequestration and destruction of thrombocytes by the spleen, liver, bone marrow, and reticuloendothelial elements of other organs. The usefulness of multiple radionuclide functional imaging procedures in the management of a 34-year-old woman with chronic ITP, two splenectomies (removal of the initial spleen and then a hypertrophied accessory spleen), and the failure of chemotherapy to control her thrombocytopenia, are discussed. A combination of In-111 oxine autologous platelet imaging, liver/spleen imaging, disofenin (liver/gallbladder) imaging, and glucoheptonate renal imaging demonstrated that her platelets were being sequestered by a markedly enlarged left hepatic lobe extending to the left lateral wall, with a small amount in the kidneys and lungs, and that there was no second accessory spleen.

journal_name

Clin Nucl Med

authors

Harwood SJ,Carroll RG

doi

10.1097/00003072-199208000-00009

keywords:

subject

Has Abstract

pub_date

1992-08-01 00:00:00

pages

652-5

issue

8

eissn

0363-9762

issn

1536-0229

journal_volume

17

pub_type

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