Case Report

Postinfluenza Vaccination Idiopathic Thrombocytopenic Purpura in Three Elderly Patients

Table 1

Clinical findings of previous reported cases of postinfluenza vaccination thrombocytopenia.

Study designReferenceNumber of ITP patientsPatient characteristicsHistoryDuration of thrombocytopenia from vaccinationPlatelet count (/μL)Elevation of PAIgG levelTreatmentOutcome

Case-control study Jadavji et al., 2003 [1]2NANA10 days
14 days
NA
NA
NA
NA
NA
NA
FR
c-ITP
Garbe et al., 2012 [14]3 NANANANANANANA
Grimaldi-Bensouda et al., 2012 [2]43NANA<12 moNANANANA

Case reportKelton, 1981 [3]1 38-year-old, maleCOPD12 days32000PositiveSteroidsFR
Casoli and Tumiati, 1989 [4]132-year-old, maleNone15 daysNANASteroidsFR
Granier et al., 2003 [5]1 72-year-old, femaleNone8 days3000PositiveSteroidsFR
Ikegame et al., 2006 [6]119-year-old, femaleALL (post-BMT)14 days10000PositiveIVIG, steroids, and eradicationFR
Tishler et al., 2006 [7]1 68-year-old, maleHT14 days3000NAIVIG and steroidsFR
Mamori et al., 2008 [8]175-year-old, femaleAILD7 days5000PositiveSteroidsFR
Tsuji et al., 2009 [9]179-year-old, maleDM4 days4000NegativeIVIG and steroidsc-ITP
Mantadakis et al., 2010 [10]13-year-old, maleNone26 days11000NAIVIGFR
Shlamovitz and Johar, 2013 [11]1 50-year-old, manNone4 days<5000NAIVIG and steroidsFR
81-year-old, femaleHT28 days27000Positive EradicationFR
Nagasaki 2016375-year-old, femaleAP and LD35 days5000Positive Steroids and eradicationFR
87-year-old, femaleNone14 days2000Positive SteroidsFR

ITP: immune thrombocytopenic purpura; NA: not applicable; COPD: chronic obstructive pulmonary disease; ALL: acute lymphoblastic leukemia; BMT: bone marrow transplantation; HT: hypertension; AILD: autoimmune liver disease; DM: diabetes mellitus; HL: hyperlipidemia; AP: angina pectoris; IVIG: intravenous immunoglobulin; FR: full recovery; c-ITP: chronic-ITP.