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Secondary causes could be leukemia, medications (e.g. quinine, heparin), lupus erythematosus, ... Then, the secondary causes (usually 5-10% of suspected ITP cases) should be excluded.
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reviewed the medical charts of 127 children with presumed ITP. All 5 patients with abnormal BMA samples had clinical or laboratory features "atypical" of acute ITP; none had leukemia ...
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primary hypercoagulable state: ... Purpura: Henoch-Schönlein, ITP (Evans syndrome), TTP. Lymphoid leukemia (or lymphocytic leukemia) is a type of leukemia affecting circulating cells ...
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be: * Cancer chemotherapy * Disseminated intravascular coagulation (DIC) * Hemolytic anemia * Hypersplenism * Idiopathic thrombocytopenic purpura (ITP) * Leukemia * Massive blood ...
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