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LETTER For the EDITORKorean J Intern Med 2014;29:671-674 dx.doi.org/10.3904/kjim.2014.29.5.Immune thrombocytopenic purpura inside a patient with renal cell carcinomaEun Ju Cho1, Ha Jung Lee1, Kyung Un Park2, Uk-Yeon Kim3, Hak Jong Lee4 , and Soo Mee BangDepartment of Internal Medicine, Seoul National University College of Medicine, Seoul; Departments of 2Diagnostic Medicine, three Pathology, 4Radiology, and 5 Internal Medicine, Seoul National University Bundang Hospital, Seongnam, KoreaTo the Editor,Thrombocytopenia in cancer sufferers is caused by several mechanisms: chemotherapy or radiotherapy induce bone marrow hypoplasia, the tumor can infiltrate the bone marrow, or the platelets can be consumed secondary to disseminated intravascular coagulation (DIC) or thrombotic thrombocytopenic purpura. The association in between immune thrombocytopenic purpura (ITP) and lymphoid neoplasms, in distinct chronic lymphoid leukemia and Hodgkin’s illness, was f irst recognized in 1966 [1] and has been regularly reported considering that then. On the other hand, the association with strong tumors is rare. Five cases of renal cell carcinomas (RCCs) associated with ITP happen to be reported inside the healthcare literature [2-4]. In four situations, the thrombocytopenia was refrac.
