Pathophysiology of thrombocytopenia associated with HIV infection in homosexual men
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ID: 261240
1970
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Abstract
The pathophysiology of HIV associated immune thrombocytopenia (HIV-ITP) and its response to AZT was investigated. Using autologous 111Indium-labelled platelets, platelet kinetic were analysed in two patient groups. Group 1 (untreated) was comprised of 13 patients with HIV-ITP. Group 2 (AZT) was comprised of 6 patients with a history of HIV-ITP prior to starting AZT. These patients were studied following a rise in their platelet count on AZT. Platelet survivals in both groups were shortened compared to controls, however there was no significant difference between the 2 groups. However platelet turnover rates were significantly depressed in Group 1 compared to Group 2 (P<0.05) and control values (P<0.05). The platelet count correlated with platelet turnover in Group 1 but not in AZT treated patients. Thus patients with HIV-ITP appear to have both shortened survivals and suppressed platelet production. The mechanism of the latter is unknown, but the increased turnover rate seen with AZT suggests it is a direct or indirect effect of the HIV virus.
| Reference Key |
ballem1970blutpathophysiology
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| Authors | P. J. Ballem;A. Belzberg;D. Devine;P. Doubroff;C. Mikulash;B. Spurston;H. Chambers;C. Sartori;N. Buskard;P. J. Ballem;A. Belzberg;D. Devine;P. Doubroff;C. Mikulash;B. Spurston;H. Chambers;C. Sartori;N. Buskard; |
| Journal | blut |
| Year | 1970 |
| DOI |
doi:10.1007/BF00320260
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| URL | |
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