Helicobacter pylori-Associated Immune Thrombocytopenia: Diagnostic and Therapeutic Approach

Author:

Gosavi Siddharth1,Krishnan Gokul1,Kumar Vinay1,Nityandila Chinmayee Anand1,Rao Amogh Ananda2,Singh Shiana3,Shastry Barkur Anantha Krishna1

Affiliation:

1. Department of Internal Medicine, Kasturba Medical College, Manipal Academy of Higher Education, Manipal, India

2. Healseq Precision Medicine Private Limited, Indian Institute of Science, Bengaluru, Karnataka, India

3. Department of Biological Sciences, Mellon College of Science, Carnegie Mellon University, Pittsburgh, Pennsylvania, USA

Abstract

Abstract The relationship between immune thrombocytopenia (ITP) and Helicobacter pylori infection has largely been an unexplored entity. This review article aims at focusing on the role of H. pylori in secondary ITP. We also elucidated the importance of diagnostic workup and treatment of H. pylori in this article. The mechanisms of H. pylori-associated ITP have been covered in this article. The factors determining platelet response to H. pylori eradication therapy have been mentioned. It is extremely crucial to be aware that H. pylori is a major causative pathogen for new-onset ITP as well as chronic ITP. Upper gastrointestinal endoscopic biopsy is the best invasive method for the diagnosis of the same. Further studies need to be conducted across larger, more diverse groups to validate our observation that eradication of H. pylori could aid platelet recovery in ITP.

Publisher

Medknow

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