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Blood, 1 February 2001, Vol. 97, No. 3, pp. 812-814
BRIEF REPORT
Helicobacter pylori eradication can induce platelet
recovery in idiopathic thrombocytopenic purpura
Giovanni Emilia,
Giuseppe Longo,
Mario Luppi,
Giovanna Gandini,
Monica Morselli,
Leonardo Ferrara,
Sergio Amarri,
Katia Cagossi, and
Giuseppe Torelli
From the Department of Medical Sciences, Section of
Internal Medicine and Hematology, and Department of Paediatrics,
University of Modena, Italy.
Recent reports have suggested an association between
Helicobacter pylori infection and idiopathic
thrombocytopenic purpura (ITP). The prevalence of H pylori
infection and the effect of its eradication in a series of 30 ITP
patients were investigated. H pylori infection has been
documented in 13 patients (43.33%) by 13C urea breath test
and confirmed by histologic examination. Bacterium eradication with
antibiotics, obtained in 12 of 13 infected patients (92.3%), led to a
complete response in 4 (33.33%) and to a partial response (platelets
90 × 109/L-120 × 109/L) in 2 (16.66%).
The response was maintained for a median of 8.33 months, but 1 patient
relapsed 7 months after eradication. Search for H pylori
infection seems appropriate in ITP patients at diagnosis. Bacterium
eradication provides a new good option for a nonimmunosuppressive
treatment in some ITP patients.

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