Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s Disease

A 69-year-old man, with severe refractory Crohn’s disease, presented with acute coronary syndrome that required angioplasty. He developed severe tirofiban-induced thrombocytopenia (TIT) heralded by type I allergic reaction that required steroids and a combination of antihistamine H1 and antihistamin...

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Main Authors: Toni Ibrahim, Fady El Karak, Assem Araji, Elie El Rassy
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/4605139
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author Toni Ibrahim
Fady El Karak
Assem Araji
Elie El Rassy
author_facet Toni Ibrahim
Fady El Karak
Assem Araji
Elie El Rassy
author_sort Toni Ibrahim
collection DOAJ
description A 69-year-old man, with severe refractory Crohn’s disease, presented with acute coronary syndrome that required angioplasty. He developed severe tirofiban-induced thrombocytopenia (TIT) heralded by type I allergic reaction that required steroids and a combination of antihistamine H1 and antihistamine H2 for symptomatic management. The thrombocytopenia spontaneously resolved uneventfully in 48 hours thereafter. This case report suggests a possible association between TIT and inflammatory bowel disease. Therefore, strict monitoring of the platelet count is required in patients who develop allergic reactions to tirofiban.
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institution Kabale University
issn 2090-6404
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publisher Wiley
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series Case Reports in Cardiology
spelling doaj-art-585de8474cd1458ba9bc83c1db6ea3752025-02-03T01:30:50ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/46051394605139Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s DiseaseToni Ibrahim0Fady El Karak1Assem Araji2Elie El Rassy3Department of Cardiology, Bekaa Hospital, Zahle, LebanonDepartment of Cardiology, Bekaa Hospital, Zahle, LebanonDepartment of Cardiology, Bekaa Hospital, Zahle, LebanonDepartment of Hematology, Hôtel-Dieu de France University Hospital, Faculty of Medicine, Saint Joseph University, Beirut, LebanonA 69-year-old man, with severe refractory Crohn’s disease, presented with acute coronary syndrome that required angioplasty. He developed severe tirofiban-induced thrombocytopenia (TIT) heralded by type I allergic reaction that required steroids and a combination of antihistamine H1 and antihistamine H2 for symptomatic management. The thrombocytopenia spontaneously resolved uneventfully in 48 hours thereafter. This case report suggests a possible association between TIT and inflammatory bowel disease. Therefore, strict monitoring of the platelet count is required in patients who develop allergic reactions to tirofiban.http://dx.doi.org/10.1155/2016/4605139
spellingShingle Toni Ibrahim
Fady El Karak
Assem Araji
Elie El Rassy
Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s Disease
Case Reports in Cardiology
title Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s Disease
title_full Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s Disease
title_fullStr Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s Disease
title_full_unstemmed Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s Disease
title_short Tirofiban-Induced Thrombocytopenia Occurring with Crohn’s Disease
title_sort tirofiban induced thrombocytopenia occurring with crohn s disease
url http://dx.doi.org/10.1155/2016/4605139
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AT fadyelkarak tirofibaninducedthrombocytopeniaoccurringwithcrohnsdisease
AT assemaraji tirofibaninducedthrombocytopeniaoccurringwithcrohnsdisease
AT elieelrassy tirofibaninducedthrombocytopeniaoccurringwithcrohnsdisease