Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
MEASLES-MUMPS-RUBELLA
VACCINATION INDUCED
THROMBOCYTOPENIA: A
CASE REPORT AND REVIEW
OF THE LITERATURE
S O M C H A I O WATA N A PA N IC H , N A S A M O N
WA N L A PA KO R N , R AT S A M E E TA N G S I R I 1 AND YONG
POOVORAWAN
D E P A R T M E N T O F P E D I A T R I C S , K I N G N A R A I H O S P I T A L , L O P B U R I ;
C E N T E R O F E X C E L L E N C E I N C L I N I C A L V I R O L O G Y , F A C U LT Y O F
M E D I C I N E , C H U L A L O N G K O R N U N I V E R S I T Y , B A N G K O K , T H A I L A N D
Dosen Pembimbing:
dr. Sasi Purwanti, Sp.KK
• IVIG : 1 g/kg/day
• Dexamethasone :
6 mg/day
• 100 ml leukocyte-
poor packed red
blood cells
(PRBC)
• 1 unit of platelet
concentrate
KESIMPULAN
• Thailand merupakan negara endemik campak maka
dianjurkan pemberian vaksin dilakukan sebanyak 2
kali, (pertama diberikan pada usia 9 bulan )
• Dan karena kasus ITP perdarahan, maka vaksinasi
ulangan dilakukan di Thailand sehingga efek vaksin
kedua memiliki kekambuhan ITP yang rendah
• Pada anak dengan riwayat ITP perdarahan diperlukan
pengawasan trombosit yang lebih ketat apabila
dilakukan vaksinasi MMR
REFERENSI
• Journeycake JM. Childhood immune thrombocytopenia: role of
rituximab, recombinant thrombopoietin, and other new
therapeutics. Hematol Am Soc Hematol Educ Program 2012; 2012:
444-9.
• Johnsen J. Pathogenesis in immune thrombocytopenia: new insights.
Hematol Am Soc Hematol Educ Program 2012; 2012: 306-12.
• O’Leary ST, Glanz JM, McClure DL, et al. The risk of immune
thrombocytopenic purpura after vaccination in children and
adolescents. Pediatrics 2012; 129: 248-55.
• Centers for Disease Control and Prevention : 2012
• Longo DL. Harrison’s Hematology and Oncology [monograph online].
New York: The McGraw-Hill Companies, Inc.; 2010 [cited 2013 July
29]. Available from: Elibrary.2.
• Sekhon S, Roy V. Thrombocytopenia in adults: A practical approach
to evaluation and management. South Med J. 2006;99(5):491-8.3.
• Papadakis M, McPhee S. Current Medical Diagnosis & Treatment.
52nded. New York: The McGraw-Hill Co., Inc; 2013.
THANKS VERY MUCH