Purpura trombocitopénica asociada a hepatitis A en niños

RESUMEN La Hepatitis A es una enfermedad autolimitada hasta en un 85% de los casos. Su espectro clinico es variable, y junto con las demas hepatitis virales se han descrito una variedad de manifestaciones extrahepaticas raras, que cuando se presentan, desaparecen con la resolucion de la misma. La purpura trombocitopenica inmunologica es debida a la presencia de anticuerpos anticardiolipina, antiplaquetarios y depositos de complejos inmunes inespecificos en la superficie plaquetaria, sugiriendo una etiologia compleja. Se han descrito raros casos de PTI asociada a Hepatitis virales. Nosotros reportamos una nina de 6 anos de edad con hepatitis A quien desarrollo purpura trombocitopenica inmunologica durante la misma. Palabras Clave: Hepatitis A, Purpura trombocitopenica.  ABSTRACT Hepatitis A is a self limited disease in up to an 85% of the cases. It's clinical spectrum is variable, and along with the rest of viral hepatitis, a great variety of rare extra hepatic manifestations VHAe been described, that, if present, disappear with the resolution of the Hepatitis. Immunologic Thrombocytopenic Purpura (ITP) is a process related to the presence of anticardiolipin and antiplateles antibodies and unspecific immune complexes on the platelets' surface, suggesting a complex etiology. There VHAe been described rare cases of ITP related to Viral Hepatitis. We are reporting the case of a 6 year old female child with Hepatitis A who developed Immunologic Thrombocytopenic Purpura during the course of her illness. Key Words: Hepatitis A, Thrombocytopenic purpura.