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Data · dataset · 2026

Acute thrombocytopenia with acetylsalicylic acid: a case report

Listed in ZivaHub and Deakin Research Online — shown once because both records carry DOI 10.6084/m9.figshare.34030151.v1

<p>Acetylsalicylic acid-associated thrombocytopenia is rare and has mainly been described in isolated case reports.

Description

We report a case of acute thrombocytopenia temporally associated with an acetylsalicylic acid-containing preparation in an elderly patient with multiple comorbidities.</p> <p>A 71-year-old woman developed abrupt thrombocytopenia during hospitalisation, with platelet counts decreasing from 338 × 10<sup>9</sup>/L to 25 × 10<sup>9</sup>/L without major bleeding manifestations.

Peripheral blood smear confirmed marked thrombocytopenia without platelet aggregation or schistocytes. The acetylsalicylic acid-containing preparation was discontinued, whereas Linagliptin treatment was continued. Platelet counts subsequently recovered and normalised during follow-up.

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Causality assessment using the Naranjo Adverse Drug Reaction Probability Scale supported a probable drug-related association.</p> <p>Previous reports have suggested possible immune-mediated and idiosyncratic mechanisms for acetylsalicylic acid-associated thrombocytopenia. Although alternative etiologies could not be completely excluded in the present case, the temporal relationship between drug exposure and platelet recovery after withdrawal supported a possible association.

Clinicians should remain aware that acetylsalicylic acid-containing preparations may potentially contribute to severe haematologic adverse events, particularly in elderly patients with multiple comorbidities and polypharmacy.</p>

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Catalogue records · 1

Topics

Provenance · 2 source records, 25 field assertions
SourceKeyLast seenRaw
ZivaHuboai:figshare.com:article/3403015111 d agoJSON v1
Deakin Research Onlineoai:figshare.com:article/3403015111 d agoJSON v1
FieldAssertionExtractorEvidence
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