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Thrombocytopenic purpura as a presenting manifestation of tubercular lymphadenitis

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Abstract

A 11-year-old girl presented with thrombocytopenic purpura along with cervical lymphadenopathy. There was no hepatosplenomegaly; no evidence of microangiopathy; bone marrow examination was normal. Acid fast bacilli were seen in fine needle aspiration cytology of the lymph node. A diagnosis of tubercular lymphadenitis in association with immune thrombocytopenia was made, and the platelet count recovered with antitubercular therapy. This report illustrates immune thrombocytopenia as a rare manifestation of childhood tuberculosis; the authors also discuss other causes of thrombocytopenia in childhood tuberculosis.

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Correspondence to Sameer Bakhshi.

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Bakhshi, S., Kabra, M., Iyer, V.K. et al. Thrombocytopenic purpura as a presenting manifestation of tubercular lymphadenitis. Indian J Pediatr 70, 993–994 (2003). https://doi.org/10.1007/BF02723827

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