对血栓性血小板减少性紫癜误诊为特发性血小板减少性紫癜1例分析如下。1病历摘要青年女性,1999年底无明显诱因出现皮肤出血点,查血常规示PLT 5×109/L,血小板抗体阳性(lgG或lgM不详),抗核抗体(+),骨髓象检查示:颗粒性巨核细胞增多,超声示脾稍大,诊断特发性血小板减少性紫癜,给予丙种球蛋白以及激素治疗,效果不佳。 Thrombotic thrombocytopenic purpura misdiagnosed as idiopathic thrombocytopenic purpura in 1 case as follows. 1 medical records of young women, there was no obvious incentive at the end of 1999 the skin bleeding point, blood tests showed PLT 5 × 109 / L, platelet antibody positive (lgG or lgM unknown), anti-nuclear antibody (), bone marrow examination showed: Increased megakaryocytes, ultrasound showed spleen slightly larger, diagnosis of idiopathic thrombocytopenic purpura, given gamma globulin and hormone therapy, the effect is not good.