AB002. Anemia and thrombocytopenia: attention and care that the pediatrician must have during the service
Abstract

AB002. Anemia and thrombocytopenia: attention and care that the pediatrician must have during the service

Frederico Ribeiro Pires1, Emiliana Holzhausen Goncalves da Motta2, Artur Figueiredo Delgado2, Werther Brunow de Carvalho2

1Pediatric Intensive Care Unit, Children’s Hospital of Brasília, Brasília, Brazil; 2Children’s Institute, Hospital das Clínicas, University of São Paulo, São Paulo, Brazil

Correspondence to: Frederico Ribeiro Pires. Pediatric Intensive Care Unit, Children’s Hospital of Brasília, Federal District, Brasília, Brazil. Email: frederico_ripires@hotmail.com.

Abstract: Anemia and thrombocytopenia are common in the pediatrician’s clinical routine. But are we prepared for the differential diagnoses and the serious risks that we can take with the wrong conduct? Thrombotic microangiopathies encompass a set of pathologies that evolve with nonimmune hemolytic anemia and thrombocytopenia, but underdiagnosed in the pediatric age group. Will be reported the case of a child with a diagnosis of systemic lupus erythematosus (SLE), macrophagic activation syndrome (MAS) and thrombotic thrombocitopenic purpura (TTP), which evolved to death. Due to the severity of thrombotic microangiopathies and their underdiagnosis, I propose a flowchart of ducts in the anemic and thrombocytopenic patients, with great care in platelet transfusion, to avoid the tragic outcome.

Keywords: Anemia; thrombocytopenia; thrombotic thrombocytopenic purpura; thrombotic microangiopathy


doi: 10.21037/pm.2020.AB002
Cite this abstract as: Pires FR, Goncalves da Motta EH, Delgado AF, Brunow de Carvalho W. Anemia and thrombocytopenia: attention and care that the pediatrician must have during the service. Pediatr Med 2020;3:AB002.