Is Eradication Therapy Useful as the First Line of Treatment in Helicobacter pylori-Positive Idiopathic Thrombocytopenic Purpura? Analysis of 207 Eradicated ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2005-02

AUTHORS

Kingo Fujimura, Masataka Kuwana, Yoshiyuki Kurata, Masahiro Imamura, Hiroshi Harada, Hisashi Sakamaki, Masanao Teramura, Kyuhei Koda, Shosaku Nomura, Sayaka Sugihara, Takeshi Shimomura, Tetsuro-Takahiro Fujimoto, Kazuma Oyashiki, Yasuo Ikeda

ABSTRACT

A retrospective study was performed to determine the prevalence of Helicobacter pylori (H pylori) infection, the effect of H pylori eradication on platelet counts, and the characteristic clinical features of chronic immune or idiopathic thrombocytopenic purpura (ITP) with H pylori infection. H pylori infection was found in 300 patients, a group that was significantly older (P < .005) and had more cases of hyperplastic megakaryocytes in the bone marrow (P = .01) than patients without H pylori infection. H pylori eradication therapy was performed in 207 H pylori-positive ITP cases, and the platelet count response was observed in 63% of the successful eradication group and in 33% of the unsuccessful eradication group (P < .005). In the successful group, the complete remission and partial remission rates were 23% and 42%, respectively, 12 months after eradication. In the majority of responders, the platelet count response occurred 1 month after eradication therapy, and the increased platelet count continued without ITP treatment for more than 12 months. H pylori eradication therapy was effective even in refractory cases, which were unresponsive to splenectomy. In conclusion, H pylori infection was involved in most ITP patients older than 40 years in Japan, and eradication therapy should be the first line of treatment in H pylori-positive ITP patients. More... »

PAGES

162-168

Identifiers

URI

http://scigraph.springernature.com/pub.10.1532/ijh97.04146

DOI

http://dx.doi.org/10.1532/ijh97.04146

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1004435711

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/15765787


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321 https://www.grid.ac/institutes/grid.412398.5 schema:alternateName Osaka University Hospital
322 schema:name Department of Blood Transfusion, Osaka University Hospital, Suita
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327 https://www.grid.ac/institutes/grid.415479.a schema:alternateName Tokyo Metropolitan Komagome Hospital
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