A case report of immune thrombocytopenic purpura as a rare Harbinger of Graves’ disease

• DOI: 10.1016/j.jecr.2022.100130
• Publication Date: 2022-09-08T06:41:12Z
• Authors: Handoko Hariyono; Jongky Hendro Pra...
• Keywords: Thrombocytopenic purpura; Trab

Graves' disease is one of the most common forms autoimmune hyperthyroidism and has been linked with multiple or family histories diseases. In cases, diagnosis easily made by recognizing goiter, ophthalmopathy, hyperthyroid symptoms. However, in some symptoms are atypical potentially be misdiagnosed. We presented a patient immune thrombocytopenic purpura as an initial symptom history disease. A-27 year-old man came to emergency department due recurrent epistaxis since two weeks ago. The was diagnosed ITP year ago, but discontinued his medication himself. His platelet count 4000/μL negative results HBV, HBC, HIV, ANA tests. mother going on for 15 years, no goiter ophthalmopathy observed. vital sign constantly raised, meticulously examination Wayne score revealed hyperthyroidism, that were confirmed raised T4 decreased TSH level. established increasing TRAb. then treated concurrently disease, which showed excellent improvement. Immune thrombocytopenia could only especially Autoimmune diseases tend clustered not family, also individual. Although Graves's reflect more severe thrombocytopenia, euthyroid states propylthiouracil combination standard therapy resulting outcome.