Clinical and laboratory characteristics in 30 idiopathic thrombocytopenic purpura patients; H pylori eradication in 12
Patient, age, sex . | Disease duration, mo . | Previous treatment; duration, mo . | H pylori infection . | Platelets × 109/L . | 13C urea breath test (delta) . | ||
---|---|---|---|---|---|---|---|
Before . | After (at 6 mo) . | Before . | After . | ||||
1. CM, 52, m | 16 | None | Yes | 80 | 67* | 11.20 | 14.20 |
2. DR, 58, f | 15 | None | Yes | 80 | 111 | 12.40 | 1.20 |
3. BG, 63, m | 14 | None | Yes | 52 | 68 | 17.60 | 0.68 |
4. MC, 60, f | 16 | P, 16 | Yes | 30 | 31 | 17.30 | 1.14 |
5. MA, 67, m | 46 | None | Yes | 50 | 126† | 21.60 | 0.88 |
6. GR, 79, f | 70 | P, 63; V, 2 | Yes | 33 | 220† | 19.20 | 2.50 |
7. ME, 60, m | 15 | P, 15 | Yes | 25 | 176† | 20.30 | 1.90 |
8. IC, 61, m | 39 | P, 25 | Yes | 80 | 76 | 25.57 | 0.48 |
9. RV, 75, m | 20 | None | Yes | 80 | 84 | 10.57 | 1.13 |
10. GL, 77, f | 21 | P, 2 | Yes | 27 | 172† | 18.50 | 3.10 |
11. DR, 33, m | 35 | P, 15; Sple | Yes | 80 | 371† | 16.20 | 1.80 |
12. LD, 89, m | 13 | P, 12 | Yes | 15 | 35 | 18.70 | 2.10 |
13. MA, 48, f | 53 | P, 40 | Yes | 50 | 125† | 22.60 | 0.95 |
14. BC, 70, f | 110 | Ig, 6; Cy, 24 | No | 37 | 80 | 0.80 | |
15. SP, 79, m | 65 | P, 3 | No | 41 | 130 | 1.13 | |
16. SA, 36, m | 52 | P, 6; V, 4 | No | 30 | 110 | 2.70 | |
17. BJ, 19, f | 19 | None | No | 62 | 58 | 3.10 | |
18. BM, 18, f | 18 | None | No | 58 | 70 | 0.38 | |
19. CL, 20, f | 29 | P, 1 | No | 38 | 120 | 1.10 | |
20. CD, 53, f | 64 | P, 2; Ig, 2; C, 3 | No | 35 | 80 | 0.90 | |
21. RA, 55, f | 84 | P, 2; C, 2; V, 2 | No | 32 | 90 | 1.80 | |
22. GA, 39, f | 34 | P, 1 | No | 43 | 100 | 2.10 | |
23. PM, 26, f | 15 | P, 6 | No | 65 | 150 | 0.76 | |
24. BG, 64, m | 79 | Ig, 2; P, 4 | No | 45 | 130 | 2.30 | |
25. NR, 64, m | 31 | P, 2; C, 4; Sple | No | 2 | 120 | 1.83 | |
26. SL, 66, m | 23 | P, 22 | No | 40 | 140 | 1.26 | |
27. VR, 49, f | 32 | Ig, 1; Sple | No | 35 | 130 | 0.89 | |
28. TA, 26, f | 21 | P, 20 | No | 40 | 140 | 0.55 | |
29. BD, 35, f | 18 | P, 17 | No | 42 | 130 | 0.80 | |
30. DV, 68, f | 120 | P, 24; Sple; Cy, 13 | No | 40 | 115 | 1.45 |
Patient, age, sex . | Disease duration, mo . | Previous treatment; duration, mo . | H pylori infection . | Platelets × 109/L . | 13C urea breath test (delta) . | ||
---|---|---|---|---|---|---|---|
Before . | After (at 6 mo) . | Before . | After . | ||||
1. CM, 52, m | 16 | None | Yes | 80 | 67* | 11.20 | 14.20 |
2. DR, 58, f | 15 | None | Yes | 80 | 111 | 12.40 | 1.20 |
3. BG, 63, m | 14 | None | Yes | 52 | 68 | 17.60 | 0.68 |
4. MC, 60, f | 16 | P, 16 | Yes | 30 | 31 | 17.30 | 1.14 |
5. MA, 67, m | 46 | None | Yes | 50 | 126† | 21.60 | 0.88 |
6. GR, 79, f | 70 | P, 63; V, 2 | Yes | 33 | 220† | 19.20 | 2.50 |
7. ME, 60, m | 15 | P, 15 | Yes | 25 | 176† | 20.30 | 1.90 |
8. IC, 61, m | 39 | P, 25 | Yes | 80 | 76 | 25.57 | 0.48 |
9. RV, 75, m | 20 | None | Yes | 80 | 84 | 10.57 | 1.13 |
10. GL, 77, f | 21 | P, 2 | Yes | 27 | 172† | 18.50 | 3.10 |
11. DR, 33, m | 35 | P, 15; Sple | Yes | 80 | 371† | 16.20 | 1.80 |
12. LD, 89, m | 13 | P, 12 | Yes | 15 | 35 | 18.70 | 2.10 |
13. MA, 48, f | 53 | P, 40 | Yes | 50 | 125† | 22.60 | 0.95 |
14. BC, 70, f | 110 | Ig, 6; Cy, 24 | No | 37 | 80 | 0.80 | |
15. SP, 79, m | 65 | P, 3 | No | 41 | 130 | 1.13 | |
16. SA, 36, m | 52 | P, 6; V, 4 | No | 30 | 110 | 2.70 | |
17. BJ, 19, f | 19 | None | No | 62 | 58 | 3.10 | |
18. BM, 18, f | 18 | None | No | 58 | 70 | 0.38 | |
19. CL, 20, f | 29 | P, 1 | No | 38 | 120 | 1.10 | |
20. CD, 53, f | 64 | P, 2; Ig, 2; C, 3 | No | 35 | 80 | 0.90 | |
21. RA, 55, f | 84 | P, 2; C, 2; V, 2 | No | 32 | 90 | 1.80 | |
22. GA, 39, f | 34 | P, 1 | No | 43 | 100 | 2.10 | |
23. PM, 26, f | 15 | P, 6 | No | 65 | 150 | 0.76 | |
24. BG, 64, m | 79 | Ig, 2; P, 4 | No | 45 | 130 | 2.30 | |
25. NR, 64, m | 31 | P, 2; C, 4; Sple | No | 2 | 120 | 1.83 | |
26. SL, 66, m | 23 | P, 22 | No | 40 | 140 | 1.26 | |
27. VR, 49, f | 32 | Ig, 1; Sple | No | 35 | 130 | 0.89 | |
28. TA, 26, f | 21 | P, 20 | No | 40 | 140 | 0.55 | |
29. BD, 35, f | 18 | P, 17 | No | 42 | 130 | 0.80 | |
30. DV, 68, f | 120 | P, 24; Sple; Cy, 13 | No | 40 | 115 | 1.45 |
For the uninfected patients, platelet values before and after immunosuppressive treatment. For the infected patients, immunosuppression withdrawal 1 month before H pylorieradication treatment. Delta represents the difference between the13C value on breath at 0 minutes and at 30 minutes; positive = greater than 5. Prior immunosuppressive treatments were successful, except in patients No. 4, 6, 7, 10, and 12. No other treatments were performed in the intervening time, since H pylori eradication.
P indicates prednisone; C, cyclophosphamide; V, vincristine; Cy, cyclosporin A; Ig, intravenous immunoglobulin; Sple, splenectomy.
H pylori eradication failed.
Eradication-responsive patients.