Non-specific skin purpura

Essential thrombocythemia is one of the myeloproliferative neoplasms. Palpable purpura is a rare manifestation that may delay diagnosis and treatment. We report a case of essential thrombocythemia in a 50-year-old man, who presented with recurrent thigh pain for the past one year with nonspecific...

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Bibliographic Details
Main Authors: Shalihin, Mohd Shaiful Ehsan, Harun, Zulkifli, Osman, Iskandar Firzada
Format: Article
Language:English
English
Published: Academy of Family Physicians of Malaysia, 2018
Subjects:
Online Access:http://irep.iium.edu.my/66491/
http://irep.iium.edu.my/66491/
http://irep.iium.edu.my/66491/7/66491%20Non-specific%20skin%20purpur.pdf
http://irep.iium.edu.my/66491/8/66491%20Non-specific%20skin%20purpur%20SCOPUS.pdf
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Summary:Essential thrombocythemia is one of the myeloproliferative neoplasms. Palpable purpura is a rare manifestation that may delay diagnosis and treatment. We report a case of essential thrombocythemia in a 50-year-old man, who presented with recurrent thigh pain for the past one year with nonspecific localized purpura. His full blood count revealed isolated thrombocytosis of 880,000/µL with an impression of myeloproliferative disorder from peripheral blood film. He was referred urgently to the hematology team, which proceeded with a venesection. His condition improved with hydroxyurea. This was a rare case of chronic presentation of myeloproliferative neoplasm detected at a primary care clinic.