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The Development of Immune Thrombocytopenia Due to COVID-19 Presenting as Menorrhagia
Sasmith R Menakuru1, Adelina Priscu1, Vijaypal S Dhillon1
1Internal Medicine, Indiana University Health Ball Memorial Hospital, Muncie, USA.
Insights
A young woman with heavy menstrual bleeding was diagnosed with immune thrombocytopenia (ITP) caused by an asymptomatic COVID-19 infection. This case highlights a potential link between mild COVID-19 and ITP development.
Area of Science:
- Hematology
- Infectious Diseases
- Reproductive Health
Background:
- Immune thrombocytopenia (ITP) is a bleeding disorder from low platelet counts.
- Coronavirus disease 2019 (COVID-19) has been associated with new ITP diagnoses, particularly in severe cases.
- Menorrhagia, or heavy menstrual bleeding, can significantly impact quality of life.
Abstract:
Immune thrombocytopenia (ITP), also known as immune thrombocytopenic purpura, is a hematological disorder characterized by a decreased platelet count, predisposing patients to bleeding. Coronavirus disease 2019 (COVID-19) has been linked to multiple cases of newly diagnosed ITP and is usually found in moderate-to-severe infections, peaking in children and elderly adults. Menorrhagia is the medical term for menstrual periods with abnormally heavy or prolonged bleeding occurring at regular intervals or prolonged uterine bleeding lasting more than seven days. Here, we report the case of a 23-year-old African American female who presented with the chief complaint of menorrhagia and was subsequently diagnosed as having ITP induced by an asymptomatic COVID-19 infection.
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