| Literature DB >> 18807044 |
Joshua M Brostoff1, Gopinath M Ranganna, C Bernard Colaco.
Abstract
We discuss a patient with Henoch-Schonlein Purpura (HSP) and a thrombocythaemia which was diagnosed as a coincidental Essential Thrombocythaemia. We suggest that deficiencies in Smad4 expression may allow for escape thrombocythaemia under the influence of the high levels of TGF-beta found in HSP. With normal Smad4 expression TGF-beta provides inhibition of thrombocyte proliferation. While this needs further elucidation, it could lead to a new approach to classification and management of HSP.Entities:
Mesh:
Substances:
Year: 2008 PMID: 18807044 DOI: 10.1007/s00296-008-0720-7
Source DB: PubMed Journal: Rheumatol Int ISSN: 0172-8172 Impact factor: 2.631