Autoimmune Thrombocytopenia in SLE and COVID-19

Thrombocytopenia and hypercoagulopathy are haematological abnormalities commonly seen in individuals with coronavirus disease 2019 (COVID-19) and systemic lupus erythematosus (SLE). The difficulty arises when the patient has both diseases concurrently. The clinician should be able to comprehend the...

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Autores principales: Yeremia Suryo Pratama, Riska Pradiptakirana, Azkia Rachmah, Nurhasan Agung Prabowo
Formato: article
Lenguaje:EN
Publicado: SMC MEDIA SRL 2021
Materias:
sle
R
Acceso en línea:https://doaj.org/article/ba8a4e5e24a140028f789d9e9c797ed1
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Sumario:Thrombocytopenia and hypercoagulopathy are haematological abnormalities commonly seen in individuals with coronavirus disease 2019 (COVID-19) and systemic lupus erythematosus (SLE). The difficulty arises when the patient has both diseases concurrently. The clinician should be able to comprehend the pathophysiology of these patient abnormalities in order to provide the best treatment possible. We present a case of a 20-year-old female COVID-19 patient with a history of SLE who had thrombocytopenia but normal D-dimer results. Our analysis revealed that the thrombocytopenia may have been caused by a relapse of lupus, not by COVID-19 infection. In this case, glucocorticoids were the primary therapy and produced excellent results.