Relación clínica entre helicobacter pylori y la púrpura trombocitopénica inmune: revisión de tema
Clinical relationship between helicobacter pylori and immune thrombocytopenic purpura: a topic review
Cómo citar
Descargar cita

Esta obra está bajo una licencia internacional Creative Commons Atribución-NoComercial-SinDerivadas 4.0.
Mostrar biografía de los autores
Se realizó una revisión temática acerca de los aspectos fisiopatológicos, características clínicas y diagnóstico que fundamentan la relación entre Helicobacter pylori (HP) y la púrpura trombocitopénica inmune (PTI). Mecanismos como el mimetismo molecular y la modulación de la actividad fagocítica han sido propuestos para explicar esta asociación. El diagnóstico de PTI implica una evaluación detallada que considera la historia clínica y pruebas de laboratorio específicas. A pesar de los avances, persisten desafíos en la comprensión de estos mecanismos y en el desarrollo de tratamientos efectivos y personalizados para los pacientes.
Visitas del artículo 281 | Visitas PDF 234
Descargas
- Neunert CE. Current management of immune thrombocytopenia. Hematology Am Soc Hematol Educ Program [Internet]. 2013;2013:276-82. Disponible en: https://doi.org/10.1182/asheducation-2013.1.276 DOI: https://doi.org/10.1182/asheducation-2013.1.276
- Semple JW, Rebetz J, Maouia A, Kapur R. An update on the pathophysiology of immune thrombocytopenia. Curr Opin Hematol [Internet]. 2020 Nov;27(6):423-429. Disponible en: https://doi.org/10.1097/MOH.0000000000000612 DOI: https://doi.org/10.1097/MOH.0000000000000612
- Abrahamson PE, Hall SA, Feudjo-Tepie M, Mitrani-Gold FS, Logie J. The incidence of idiopathic thrombocytopenic purpura among adults: a population-based study and literature review. Eur J Haematol [Internet]. 2009;83(2):83-9. Disponible en: https://doi.org/10.1111/j.1600-0609.2009.01247.x DOI: https://doi.org/10.1111/j.1600-0609.2009.01247.x
- Hooi JKY, Lai WY, Ng WK, Suen MMY, Underwood FE, Tanyingoh D, et al. Global Prevalence of Helicobacter pylori Infection: Systematic Review and Meta-Analysis. Gastroenterology [Internet]. 2017 Aug;153(2):420-9. Disponible en: https://doi.org/10.1053/j.gastro.2017.04.022 DOI: https://doi.org/10.1053/j.gastro.2017.04.022
- Yong M, Schoonen WM, Li L, et al. Epidemiology of paediatric immune thrombocytopenia in the General Practice Research Database. Br J Haematol [Internet]. 2010;149(6):855-64. Disponible en: https://doi.org/10.1111/j.1365-2141.2010.08176.x DOI: https://doi.org/10.1111/j.1365-2141.2010.08176.x
- Fischbach W, Malfertheiner P. Helicobacter pylori Infection. Dtsch Arztebl Int [Internet]. 2018;115(25):429-36. Disponible en: https://doi.org/10.3238/arztebl.2018.0429 DOI: https://doi.org/10.3238/arztebl.2018.0429
- Ouyang Y, Zhang W, Huang Y, Wang Y, Shao Q, Wu X, et al. Effect of Helicobacter pylori eradication on hyperplastic gastric polyps: A systematic review and meta-analysis. Helicobacter [Internet]. 2021;26(3):e12838. Disponible en: https://doi.org/10.1111/hel.12838 DOI: https://doi.org/10.1111/hel.12838
- Brown LM. Helicobacter pylori: epidemiology and routes of transmission. Epidemiol Rev [Internet]. 2000;22(2):283-97. Disponible en: https://doi.org/10.1093/oxfordjournals.epirev.a018040 DOI: https://doi.org/10.1093/oxfordjournals.epirev.a018040
- De Korwin JD, Ianiro G, Gibiino G, Gasbarrini A. Helicobacter pylori infection and extragastric diseases in 2017. Helicobacter [Internet]. 2017;22 Suppl 1:e12411. Disponible en: https://doi.org/10.1111/hel.12411 DOI: https://doi.org/10.1111/hel.12411
- Pellicano R, Ianiro G, Fagoonee S, Settanni CR, Gasbarrini A. Review: Extragastric diseases and Helicobacter pylori. Helicobacter [Internet]. 2020;25 Suppl 1:e12741. Disponible en: https://doi.org/10.1111/hel.12741 DOI: https://doi.org/10.1111/hel.12741
- Qiang L, Hu J, Tian M, Li Y, Ren C, Deng Y, et al. Extracellular vesicles from Helicobacter pylori-infected cells and Helicobacter pylori outer membrane vesicles in atherosclerosis. Helicobacter [Internet]. 2022;27(1):e12877. Disponible en: https://doi.org/10.1111/hel.12877 DOI: https://doi.org/10.1111/hel.12877
- Franceschi F, Zuccalà G, Roccarina D, Gasbarrini A. Clinical effects of Helicobacter pylori outside the stomach. Nat Rev Gastroenterol Hepatol [Internet]. 2014;11(4):234-42. Disponible en: https://doi.org/10.1038/nrgastro.2014.32 DOI: https://doi.org/10.1038/nrgastro.2013.243
- Gasbarrini A, Franceschi F, Tartaglione R, Landolfi R, Pola P, Gasbarrini G. Regression of autoimmune thrombocytopenia after eradication of Helicobacter pylori. Lancet [Internet]. 1998;352(9131):878. Disponible en: https://doi.org/10.1016/S0140-6736(05)60004-9 DOI: https://doi.org/10.1016/S0140-6736(05)60004-9
- Kuwana M, Ikeda Y. Helicobacter pylori and immune thrombocytopenic purpura: unsolved questions and controversies. Int J Hematol [Internet]. 2006;84(4):309-15. Disponible en: https://doi.org/10.1532/IJH97.06083 DOI: https://doi.org/10.1532/IJH97.06188
- Franchini M, Veneri D. Helicobacter pylori-associated immune thrombocytopenia. Platelets [Internet]. 2006;17(2):71-7. Disponible en: https://doi.org/10.1080/09537100500441214 DOI: https://doi.org/10.1080/09537100500438057
- Stasi R, Provan D. Helicobacter pylori and Chronic ITP. Hematology Am Soc Hematol Educ Program [Internet]. 2008:206-11. Disponible en: https://doi.org/10.1182/asheducation-2008.1.206 DOI: https://doi.org/10.1182/asheducation-2008.1.206
- Kuwana M. Helicobacter pylori-associated immune thrombocytopenia: clinical features and pathogenic mechanisms. World J Gastroenterol [Internet]. 2014;20(3):714-23. PMID: 24574745. Disponible en: https://doi.org/10.3748/wjg.v20.i3.714 DOI: https://doi.org/10.3748/wjg.v20.i3.714
- Rodeghiero F, Stasi R, Gernsheimer T, et al. Standardization of terminology, definitions and outcome criteria in immune thrombocytopenic purpura of adults and children: report from an international working group. Blood [Internet]. 2009;113(11):2386-93. PMID: 19005182. Disponible en: https://doi.org/10.1182/blood-2008-07-162503 DOI: https://doi.org/10.1182/blood-2008-07-162503
- Cines DB, Liebman H, Stasi R. Pathobiology of secondary immune thrombocytopenia. Semin Hematol [Internet]. 2009;46(1 Suppl 2):S2-S14. Disponible en: https://doi.org/10.1053/j.seminhematol.2008.12.005 DOI: https://doi.org/10.1053/j.seminhematol.2008.12.005
- Matzdorff A, Meyer O, Ostermann H, Kiefel V, Eberl W, Kühne T, et al. Immune thrombocytopenia-current diagnostics and therapy: recommendations of a joint working group of DGHO, ÖGHO, SGH, GPOH, and DGTI. Oncol Res Treat [Internet]. 2018;41(Suppl 5):1-30. Disponible en: https://doi.org/10.1159/000492187 DOI: https://doi.org/10.1159/000492187
- Aljarad S, Alhamid A, Tarabishi AS, Suliman A, Aljarad Z. The impact of Helicobacter pylori eradication on platelet counts of adult patients with idiopathic thrombocytopenic purpura. BMC Hematol [Internet]. 2018;18:28. Disponible en: https://doi.org/10.1186/s12878-018-0119-y DOI: https://doi.org/10.1186/s12878-018-0119-y
- Psaila B, Bussel JB. Immune thrombocytopenic purpura. Hematol Oncol Clin North Am [Internet]. 2007;21(4):743-59. Disponible en: https://doi.org/10.1016/j.hoc.2007.06.007 DOI: https://doi.org/10.1016/j.hoc.2007.06.007
- Gómez-Luna E, Fernando-Navajas D, Aponte-Mayor G, Betancourt-Buitrago LA. Metodología para la revisión bibliográfica y la gestión de información de temas científicos, a través de su estructuración y sistematización. Dyna [Internet]. 2014;81(184):158-63. Disponible en: https://doi.org/10.15446/dyna.v81n184.37066 DOI: https://doi.org/10.15446/dyna.v81n184.37066
- Neunert C, Terrell DR, Arnold DM, Buchanan G, Cines DB, Cooper N, et al. American Society of Hematology 2019 guidelines for immune thrombocytopenia. Blood Adv [Internet], 2019;3(23):3829-66. Disponible en: https://doi.org/10.1182/bloodadvances.2019000966 DOI: https://doi.org/10.1182/bloodadvances.2019000966
- Malfertheiner P, Megraud F, O’Morain CA, Gisbert JP, Kuipers EJ, Axon AT, et al. Management of Helicobacter pylori infection—The Maastricht V/Florence Consensus Report. Gut [Internet]. 2017;66(1):6-30. Disponible en: https://doi.org/10.1136/gutjnl-2016-312288 DOI: https://doi.org/10.1136/gutjnl-2016-312288
- Kim SG, Jung HK, Lee HL, Jang JY, Lee H, Kim CG, et al. Guidelines for the diagnosis and treatment of Helicobacter pylori infection in Korea, 2013 revised edition. Korean J Gastroenterol [Internet]. 2013;62(2):3-26. Disponible en: https://doi.org/10.4166/kjg.2013.62.2.3 DOI: https://doi.org/10.4166/kjg.2013.62.1.3
- Kashiwagi H, Kuwana M, Hato T, Takafuta T, Fujimura K, Kurata Y, et al. Reference guide for management of adult immune thrombocytopenia in Japan: 2019 Revision. Int J Hematol [Internet]. 2020;111(3):329-51. Disponible en: https://doi.org/10.1007/s12185-019-02790-z DOI: https://doi.org/10.1007/s12185-019-02790-z
- Emillia G, Longo G, Luppi M, et al. Helicobacter pylori eradication can induce platelet recovery in idiopathic thrombocytopenic purpura. Blood [Internet]. 2001;97(3):812-4. Disponible en: https://doi.org/10.1182/blood.V97.3.812 DOI: https://doi.org/10.1182/blood.V97.3.812
- Kohda K, Kuga T, Kogawa K, et al. Effect of Helicobacter pylori eradication on platelet recovery in Japanese patients with chronic idiopathic thrombocytopenic purpura and secondary autoimmune thrombocytopenic purpura. Br J Haematol [Internet]. 2002;118(2):584-8. Disponible en: https://doi.org/10.1046/j.1365-2141.2002.03635.x DOI: https://doi.org/10.1046/j.1365-2141.2002.03612.x
- Hashino S, Mori A, Suzuki S, et al. Platelet recovery in patients with idiopathic thrombocytopenic purpura after eradication of Helicobacter pylori. Int J Hematol [Internet]. 2003;77(2):188-91. Disponible en: https://doi.org/10.1007/BF02983219 DOI: https://doi.org/10.1007/BF02983220
- Ando K, Shimamoto T, Tauchi T, et al. Can eradication therapy for Helicobacter pylori really improve the thrombocytopenia in idiopathic thrombocytopenic purpura? Our experience and a literature review. Int J Hematol [Internet]. 2003;77(3):239-44. Disponible en: https://doi.org/10.1007/BF02983779 DOI: https://doi.org/10.1007/BF02983780
- Asaka M, Kimura T, Kudo M, et al. Relationship of Helicobacter pylori to serum pepsinogens in an asymptomatic Japanese population. Gastroenterology [Internet]. 1992;102(3):760-6. Disponible en: https://doi.org/10.1016/0016-5085(92)90152-H DOI: https://doi.org/10.1016/0016-5085(92)90156-S
- Abdollahi A, Shoar S, Ghasemi S, Zohreh OY. Is Helicobacter pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children? Ann Afr Med [Internet]. 2015;14(4):177-81. Disponible en: https://doi.org/10.4103/1596-3519.149894 DOI: https://doi.org/10.4103/1596-3519.153357
- Rajantie J, Klemola T. Helicobacter pylori and Idiopathic Thrombocytopenic Purpura in Children. Blood. 2003;101(4):1660. Disponible en: https://doi.org/10.1182/sangre-2002-10-3201 DOI: https://doi.org/10.1182/blood-2002-10-3201
- Kim CY, Lee EH, Yoon HS. High Remission Rate of Chronic Immune Thrombocytopenia in Children: Result of 20-Year Follow-Up. Yonsei Med J [Internet]. 2016;57(1):127-31. Disponible en: https://doi.org/10.3349/ymj.2016.57.1.127 DOI: https://doi.org/10.3349/ymj.2016.57.1.127
- Fujimura K, Kuwana M, Kurata Y, Imamura M, Harada H, Sakamaki H, et al. Is eradication therapy useful as the first line of treatment in Helicobacter pylori-positive idiopathic thrombocytopenic purpura? Analysis of 207 eradicated chronic ITP cases in Japan. Int J Hematol [Internet]. 2005;81(2):162-8. Disponible en: https://doi.org/10.1532/IJH97.04079 DOI: https://doi.org/10.1532/IJH97.04146
- Suerbaum S, Michetti P. Helicobacter pylori infection. N Engl J Med. [Internet] 2002;347(15):1175-86. Disponible en: https://doi.org/10.1056/NEJMra020542 DOI: https://doi.org/10.1056/NEJMra020542
- Michel M, Cooper N, Christelle J, Frissora C, Bussel JB. Does Helicobacter pylori initiate or perpetuate immune thrombocytopenic purpura? Blood [Internet]. 2004;103(3):890-6. Disponible en: https://doi.org/10.1182/blood-2003-03-0807 DOI: https://doi.org/10.1182/blood-2003-03-0900
- Takahashi T, Yujiri T, Shinohara K, Inoue Y, Sato Y, Fujii Y, et al. Molecular mimicry by Helicobacter pylori CagA protein may be involved in the pathogenesis of H. pylori-associated chronic idiopathic thrombocytopenic purpura. Br J Haematol [Internet]. 2004;124(1):91-6. Disponible en: https://doi.org/10.1046/j.1365-2141.2004.04735.x DOI: https://doi.org/10.1046/j.1365-2141.2003.04735.x
- Jackson S, Beck PL, Pineo GF, Poon MC. Helicobacter pylori eradication: Novel therapy for immune thrombocytopenic purpura? A review of the literature. Am J Hematol [Internet]. 2005;78(2):142-50. Disponible en: https://doi.org/10.1002/ajh.20255 DOI: https://doi.org/10.1002/ajh.20250
- Pricop L, et al. Differential modulation of stimulatory and inhibitory Fc receptors on human monocytes by Th1 and Th2 cytokines. J Immunol [Internet]. 2001;166(1):531-7. Disponible en: https://doi.org/10.4049/jimmunol.166.1.531 DOI: https://doi.org/10.4049/jimmunol.166.1.531
- Asahi A, Nishimoto T, Okazaki Y, Suzuki H, Masaoka T, Kawakami Y, et al. Helicobacter pylori eradication shifts monocyte Fcgamma receptor balance toward inhibitory FcgammaRIIB in immune thrombocytopenic purpura patients. J Clin Invest [Internet]. 2008;118(8):2939-49. Disponible en: https://doi.org/10.1172/JCI34496 DOI: https://doi.org/10.1172/JCI34496
- Samuelsson A, Towers TL, Ravetch JV. Anti-inflammatory activity of IVIG mediated through the inhibitory Fc receptor. Science [Internet]. 2001;291(5503):484-6 PMID: 11161202. Disponible en: https://doi.org/10.1126/science.291.5503.484. DOI: https://doi.org/10.1126/science.291.5503.484
- Liu XG, Ma SH, Sun JZ, Ren J, Shi Y, Sun L, et al. High-dose dexamethasone shifts the balance of stimulatory and inhibitory Fcgamma receptors on monocytes in patients with primary immune thrombocytopenia. Blood [Internet]. 2011;117(6):2061-9. PMID: 21131591. Disponible en: https://doi.org/10.1182/blood-2010-07-295477 DOI: https://doi.org/10.1182/blood-2010-07-295477
- Byrne MF, Kerrigan SW, Corcoran PA, Atherton JC, Murray FE, Fitzgerald DJ, et al. Helicobacter pylori binds von Willebrand factor and interacts with GPIb to induce platelet aggregation. Gastroenterology [Internet]. 2003;124(7):1846-54. Disponible en: https://doi.org/10.1016/S0016-5085(03)00397-4 DOI: https://doi.org/10.1016/S0016-5085(03)00397-4
- Andersson NG, Rossing M, Fager Ferrari M, Gabrielaite M, Leinøe E, Ljung R, et al. Genetic screening of children with suspected inherited bleeding disorders. Haemophilia [Internet]. 2020;26(2):314-24. Disponible en: https://doi.org/10.1111/hae.13921 DOI: https://doi.org/10.1111/hae.13948
- Hill QA, Newland AC. Fatigue in immune thrombocytopenia. Br J Haematol [Internet]. 2015;170(2):141-9. Disponible en: https://doi.org/10.1111/bjh.13409 DOI: https://doi.org/10.1111/bjh.13385
- Kruse C, Kruse A, DiRaimo J. Immune thrombocytopenia: the patient’s perspective. Ann Blood [Internet]. 2021;6:9. Disponible en: https://doi.org/10.21037/aob-20-35 DOI: https://doi.org/10.21037/aob-20-57
- Diraimo J, Kruse C, Lambert MP, Kruse A. Impact of Therapy Choice on Fatigue in Adults with Immune Thrombocytopenia. Blood [Internet]. 2020;136(Suppl 1):19-20. Disponible en: https://doi.org/10.1182/blood-2020-139746 DOI: https://doi.org/10.1182/blood-2020-139746
- Arnold DM. Bleeding complications in immune thrombocytopenia. Hematol Am Soc Hematol Educ Program [Internet]. 2015;2015(1):237-42. Disponible en: https://doi.org/10.1182/asheducation-2015.1.237 DOI: https://doi.org/10.1182/asheducation-2015.1.237
- Izak M, Bussel J. Management of thrombocytopenia. F1000Prime Rep [Internet]. 2014;6:45. Disponible en: https://doi.org/10.12703/P6-45 DOI: https://doi.org/10.12703/P6-45
- Hato T, Shimada N, Kurata Y, Kuwana M, Fujimura K, Kashiwagi H, et al. Risk factors for skin, mucosal, and organ bleeding in adults with primary ITP: a nationwide study in Japan. Blood Adv [Internet]. 2020;4(8):1648-55. Disponible en: https://doi.org/10.1182/bloodadvances.2019001319 DOI: https://doi.org/10.1182/bloodadvances.2020001446
- van Dijk WEM, Punt MC, van Galen KPM, van Leeuwen J, Lely AT, Schutgens REG. Menstrual problems in chronic immune thrombocytopenia: A monthly challenge - a cohort study and review. Br J Haematol [Internet]. 2022;198(4):753-64. Disponible en: https://doi.org/10.1111/bjh.18336 DOI: https://doi.org/10.1111/bjh.18291
- Gauer RL, Braun MM. Thrombocytopenia. Am Fam Physician [Internet]. 2012;85(6):612-22. Disponible en: https://doi.org/10.1097/TA.0b013e318256deab DOI: https://doi.org/10.1097/TA.0b013e318256deab
- Bonaccio M, Di Castelnuovo A, Costanzo S, De Curtis A, Donati MB, Cerletti C, et al. Age- and sex-based ranges of platelet count and cause-specific mortality risk in an adult general population: prospective findings from the Moli-sani study. Platelets [Internet]. 2018;29(3):312-5. Disponible en: https://doi.org/10.1080/09537104.2017.1411584 DOI: https://doi.org/10.1080/09537104.2017.1411584
- Buckley MF, James JW, Brown DE, Whyte GS, Dean MG, Chesterman CN, et al. A novel approach to the assessment of variations in the human platelet count. Thromb Haemost [Internet]. 2000;83(3):480-4. Disponible en: https://doi.org/10.1055/s-0037-1613813 DOI: https://doi.org/10.1055/s-0037-1613840
- Uhl L, Assmann SF, Hamza TH, Harrison RW, Gernsheimer T, Slichter SJ. Laboratory predictors of bleeding and the effect of platelet and RBC transfusions on bleeding outcomes in the PLADO trial. Blood [Internet]. 2017;130(10):1247-58. Disponible en: https://doi.org/10.1182/blood-2016-08-734236 DOI: https://doi.org/10.1182/blood-2017-01-757930
- Provan D, Arnold DM, Bussel JB, Chong BH, Cooper N, Gernsheimer T, et al. Updated international consensus report on the investigation and management of primary immune thrombocytopenia. Blood Adv [Internet]. 2019;3(22):3780-817. Disponible en: https://doi.org/10.1182/bloodadvances.2019000812 DOI: https://doi.org/10.1182/bloodadvances.2019000812
- Eyden B, Yong-Xin R, Dong SX, Liu J, Liu XF. Ultrastructural alterations of megakaryocytes in thrombocytopenia: A review of 43 cases. Blood Sci [Internet]. 2021;3(4):107-12. Disponible en: https://doi.org/10.1136/gutjnl-2016-312288 DOI: https://doi.org/10.1097/BS9.0000000000000093
- Shiotani A, Roy P, Lu H, Graham DY. Helicobacter pylori diagnosis and therapy in the era of antimicrobial stewardship. Ther Adv Gastroenterol [Internet]. 2021;14:17562848211064080. Disponible en: https://doi.org/10.1177/17562848211064080 DOI: https://doi.org/10.1177/17562848211064080
- Chey WD, Leontiadis GI, Howden CW, Moss SF. ACG Clinical Guideline: Treatment of Helicobacter pylori Infection. Am J Gastroenterol [Internet]. 2017;112(2):212-39. Disponible en: https://doi.org/10.1038/ajg.2016.563 DOI: https://doi.org/10.1038/ajg.2016.563
- Chey WD, Wong BC. American College of Gastroenterology guideline on the management of Helicobacter pylori infection. Am J Gastroenterol [Internet]. 2007;102(8):1808-25. Disponible en: https://doi.org/10.1111/j.1572-0241.2007.01393.x DOI: https://doi.org/10.1111/j.1572-0241.2007.01393.x
- Yuan Y, Ford AC, Khan KJ, Gisbert JP, Forman D, Leontiadis GI, et al. Optimum duration of regimens for Helicobacter pylori eradication. Cochrane Database Syst Rev [Internet]. 2013;12:CD008337. Disponible en: https://doi.org/10.1002/14651858.CD008337.pub2 DOI: https://doi.org/10.1002/14651858.CD008337.pub2
- Jarque I, Andreu R, Llopis I, et al. Absence of platelet response after eradication of Helicobacter pylori infection in patients with chronic idiopathic thrombocytopenic purpura. Br J Haematol [Internet]. 2001;115(3):1002-3. Disponible en: https://doi.org/10.1046/j.1365-2141.2001.03194.x DOI: https://doi.org/10.1046/j.1365-2141.2001.03194.x
- M. Michel et al. Autoimmune thrombocytopenic Purpura and Helicobacter pylori infection Archives of internal medicine [Internet]. 2002;162(9) 1033-6. Disponible en: https://doi.org/10.1001/archinte.162.9.1033. DOI: https://doi.org/10.1001/archinte.162.9.1033
- Ando T, Tsuzuki T, Mizuno T, et al. Characteristics of Helicobacter pylori-induced gastritis and the effect of H. pylori eradication in patients with chronic idiopathic thrombocytopenic purpura. Helicobacter [Internet]. 2004;9(5):443-52. Disponible en: https://doi.org/10.1111/j.1083-4389.2004.00261.x. DOI: https://doi.org/10.1111/j.1083-4389.2004.00261.x
- Sato R, Murakami K, Watanabe K, et al. Effect of Helicobacter pylori eradication on platelet recovery in patients with chronic idiopathic thrombocytopenic purpura. Arch Intern Med [Internet]. 2004;164(17):1904-7. Disponible en: https://doi.org/10.1001/archinte.164.17.1904 DOI: https://doi.org/10.1001/archinte.164.17.1904
- Payandeh M, Raeisi D, Sohrabi N, Zare ME, Kansestani AN, Keshavarz N, et al. Poor platelet count response to Helicobacter pylori eradication in patients with severe idiopathic thrombocytopenic purpura. Int J Hematol Oncol Stem Cell Res [Internet]. 2013;7(3):9-14. Disponible en: https://doi.org/10.6091/ijhoscr.2013.7.3.9.
