TY - JOUR A2 - Hsu, Tsai-Ching AU - Suzuki, Satoshi AU - Nakajima, Shihoko AU - Ando, Taiki AU - Oda, Keisuke AU - Sugita, Manabu AU - Maeda, Kunimi AU - Nakiri, Yutaka AU - Takasaki, Yoshinari PY - 2016 DA - 2016/09/06 TI - Heparin-Related Thrombocytopenia Triggered by Severe Status of Systemic Lupus Erythematosus and Bacterial Infection SP - 6571621 VL - 2016 AB - A patient with severe lupus nephritis developed thrombocytopenia during treatment with high-dose steroids. In addition to viral- or disease-induced cytopenia, the pathology was believed to arise from diverse contributing factors, such as thrombotic microangiopathy and heparin-related thrombocytopenia (HIT). By combining plasma exchange therapy and intravenous cyclophosphamide, we successfully controlled the SLE activity and improved the thrombocytopenia. An antecedent bacterial infection or SLE activity is believed to have contributed to the concurrent HIT. SN - 2090-6889 UR - https://doi.org/10.1155/2016/6571621 DO - 10.1155/2016/6571621 JF - Case Reports in Rheumatology PB - Hindawi Publishing Corporation KW - ER -