Immune thrombocytopenic purpura as sole manifestation in a case of acute hepatitis A

Tanir G., Aydemir C., Tuygun N., Kaya Ö., Yarali N.

Turkish Journal of Gastroenterology, vol.16, no.4, pp.217-219, 2005 (Journal Indexed in SCI Expanded) identifier identifier

  • Publication Type: Article / Article
  • Volume: 16 Issue: 4
  • Publication Date: 2005
  • Title of Journal : Turkish Journal of Gastroenterology
  • Page Numbers: pp.217-219
  • Keywords: Acute hepatitis A, Childhood, Immune thrombocytopenia, Purpura


Acute hepatitis due to hepatitis A virus is usually a benign self-limiting disease during childhood. Although many viral infections such as hepatitis B virus, Parvovirus, and Epstein-Barr virus are associated with extrahepatic autoimmune phenomena, such manifestations are rare in patients with acute hepatitis A infection. Immune thrombocytopenia is a benign, self-limiting disease in children, responding well to treatment and generally associated with viral infections. Immune thrombocytopenic purpura is rarely reported as a manifestation of acute hepatitis A. We report a five-year-old boy with immune thrombocytopenic purpura as the sole manifestation of anicteric acute hepatitis A infection. Acute hepatitis A should be included in the differential diagnosis of immune thrombocytopenic purpura.