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Multiple cerebral infarctions in a patient with refractory idiopathic thrombocytopenic purpura

Authors:	T OTSUKI T FUNAKAWA T SUGIHARA A KANZAKI H WADA T INOUE O YAMADA A UEKI & Y YAWATA

Institution:	Department of Hygiene, Kawasaki Medical School, Kurashiki, Okayama, Japan; Division of Neurology, Department of Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan; Division of Hematology, Department of Medicine, Kawasaki Medical School, Kurashiki, Okayama, Japan

Abstract:	Multiple cerebral infarctions were observed in a patient with refractory idiopathic thrombocytopenic purpura who was positive for lupus anticoagulant (LAC) when her platelet counts were 2000 μL⁻¹. It is suspected that LAC may have played an important role in the pathogenesis of this patient's cerebral infarctions, although she had severe thrombocytopenia.

Keywords:	chronic ITP multiple cerebral infarctions antiphospholipid syndrome