1392/4/12، جلد ۷، شماره ۳، صفحات -

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عنوان انگلیسی Poor platelet Count Response to Helicobacter pylori Eradication in Patients with severe Idiopathic Thrombocytopenic Purpura
چکیده انگلیسی مقاله Introduction: ITP is an autoimmune blood disorder in which platelet destruction is mediated by anti-platelet antibodies. The mechanisms of anti-platelet antibodies development are still a little known. The rate of some bacterial or viral agents in cause of ITP is well known. Recently, some study proposed that H pylori infection may be associated with ITP and H pylori eradication can improves platelet counts in infected ITP patients. Material and method: A baseline platelet count <50×103 µL for 4 weeks prior to study entry were required. These patients were tested for H. pylori infection by Urea Breath. All positive H pylori patients received triple therapy for 7 or 14 days to eradicate H pylori infection. These patients followed for six months. Results: Of 92 patients with ITP, H pylori infection was found in 59.7% (55/92). After excluding patients with confounding factors, 41 patients were remained. After H pylori eradication, CR wasn’t obtained in any patients. Partial response were obtained only in 3 (7.3%) of the 41 patients and no response in 38 (92.6%) patients. There is a significant difference between the platelet counts of PR and NR groups (P<0.001). Conclusion: the results of this study and our previously study showed H pylori eradication therapy has beneficial effect for patients with mild thrombocytopenia but the chance of obtaining a response by H pylori treatment is lower in patients with severe thrombocytopenia.
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نویسندگان مقاله 14154---14155---14156---14157---14158---14159---14160---14161---

نشانی اینترنتی http://ijhoscr.tums.ac.ir/index.php/ijhoscr/article/viewArticle/398
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