Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?

Background:Idiopathic thrombocytopenic purpura (ITP) is an autoimmune bleeding disorder which occurs as a result of autoantibodies attachment to the platelets surface and subsequent destruction. Several organisms can mimic features of human antigens and induce autoantibody production. One of these o...

Full description

Bibliographic Details
Main Authors: alireza abdollahi, saeed shoar, shadi ghasemi, zohreh oloomi-yazdi
Format: Article
Language:English
Published: Mattioli1885 2014-08-01
Series:Mediterranean Journal of Hematology and Infectious Diseases
Subjects:
Online Access:https://mjhid.org/index.php/mjhid/article/view/1748
_version_ 1818887114736009216
author alireza abdollahi
saeed shoar
shadi ghasemi
zohreh oloomi-yazdi
author_facet alireza abdollahi
saeed shoar
shadi ghasemi
zohreh oloomi-yazdi
author_sort alireza abdollahi
collection DOAJ
description Background:Idiopathic thrombocytopenic purpura (ITP) is an autoimmune bleeding disorder which occurs as a result of autoantibodies attachment to the platelets surface and subsequent destruction. Several organisms can mimic features of human antigens and induce autoantibody production. One of these organisms is Helicobacter pylori (HP).We purposed to assess the prevalence and relationship of H. pylori infection with ITP in a population of children. Methods: One hundred six children younger than 18 years old were enrolled in this case-control study in which 42 children with ITP were in the case group and 64 healthy children were in the control group. Stool exam for detection of HP antigen were performed and the variables were compared between the 2 groups. Results: Mean ± SD age of case and control group was 6.4±3.4 and 8.6±4.4 years old, respectively. H pylori stool antigen differ significantly between the case and the control groups (p<0.5). Conclusion: Our results support the role of HP antigen in ITP of children. Given the endorsement of this relationship, recommended to be examined ITP-children patients for this infection. The exams are recommended to include UBT or Ag detection in stool and not measuring the level of Abs of HP in the blood because false positive and negative cases are high in the latter. Moreover, it would be difficult to differentiate an active/new infection from an infection that has happened in the past.
first_indexed 2024-12-19T16:32:05Z
format Article
id doaj.art-a22535c7dd5a4773a84345b3c42f5137
institution Directory Open Access Journal
issn 2035-3006
language English
last_indexed 2024-12-19T16:32:05Z
publishDate 2014-08-01
publisher Mattioli1885
record_format Article
series Mediterranean Journal of Hematology and Infectious Diseases
spelling doaj.art-a22535c7dd5a4773a84345b3c42f51372022-12-21T20:14:10ZengMattioli1885Mediterranean Journal of Hematology and Infectious Diseases2035-30062014-08-011Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?alireza abdollahi0saeed shoar1shadi ghasemi2zohreh oloomi-yazdi3tehran university of medical sciencesDepartment of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDepartment of Pathology, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, IranDepartment of Pediatrics, Imam Hospital Complex, Tehran University of Medical Sciences, Tehran, IranBackground:Idiopathic thrombocytopenic purpura (ITP) is an autoimmune bleeding disorder which occurs as a result of autoantibodies attachment to the platelets surface and subsequent destruction. Several organisms can mimic features of human antigens and induce autoantibody production. One of these organisms is Helicobacter pylori (HP).We purposed to assess the prevalence and relationship of H. pylori infection with ITP in a population of children. Methods: One hundred six children younger than 18 years old were enrolled in this case-control study in which 42 children with ITP were in the case group and 64 healthy children were in the control group. Stool exam for detection of HP antigen were performed and the variables were compared between the 2 groups. Results: Mean ± SD age of case and control group was 6.4±3.4 and 8.6±4.4 years old, respectively. H pylori stool antigen differ significantly between the case and the control groups (p<0.5). Conclusion: Our results support the role of HP antigen in ITP of children. Given the endorsement of this relationship, recommended to be examined ITP-children patients for this infection. The exams are recommended to include UBT or Ag detection in stool and not measuring the level of Abs of HP in the blood because false positive and negative cases are high in the latter. Moreover, it would be difficult to differentiate an active/new infection from an infection that has happened in the past.https://mjhid.org/index.php/mjhid/article/view/1748Idiopathic Thrombocytopenic PurpuraH pyloriChildren
spellingShingle alireza abdollahi
saeed shoar
shadi ghasemi
zohreh oloomi-yazdi
Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?
Mediterranean Journal of Hematology and Infectious Diseases
Idiopathic Thrombocytopenic Purpura
H pylori
Children
title Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?
title_full Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?
title_fullStr Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?
title_full_unstemmed Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?
title_short Is Helicobacter Pylori Infection a Risk Factor for Idiopathic Thrombocytopenic Purpura in Children?
title_sort is helicobacter pylori infection a risk factor for idiopathic thrombocytopenic purpura in children
topic Idiopathic Thrombocytopenic Purpura
H pylori
Children
url https://mjhid.org/index.php/mjhid/article/view/1748
work_keys_str_mv AT alirezaabdollahi ishelicobacterpyloriinfectionariskfactorforidiopathicthrombocytopenicpurpurainchildren
AT saeedshoar ishelicobacterpyloriinfectionariskfactorforidiopathicthrombocytopenicpurpurainchildren
AT shadighasemi ishelicobacterpyloriinfectionariskfactorforidiopathicthrombocytopenicpurpurainchildren
AT zohreholoomiyazdi ishelicobacterpyloriinfectionariskfactorforidiopathicthrombocytopenicpurpurainchildren