Feedback on CME haematology
Kaveh Manavi
DOI: https://doi.org/10.7861/clinmedicine.19-1-90b
Clin Med January 2019 Kaveh Manavi
University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
Roles: Consultant physician
Editor – The article by Brierley and Pavord1 contains an unfortunate omission. On summarising secondary causes of immune cytopenias (Table 1), HIV infection is only mentioned as a possible contributor to autoimmune hemolytic anemia. Indeed, the most common presentation of HIV related cytopenias is immune thrombocytopenic purpura as published and supported by several published articles.2,3
General physicians’ lack of appreciation of this fact has led to several cases of late HIV diagnosis. National Institute for Health and Care Excellence guidelines4 now strongly recommend HIV testing of all patients with thrombocytopenia. I wonder if the table should be amended to reflect these facts.
- © Royal College of Physicians 2019. All rights reserved.
References
- ↵
- Brierley CK
- ↵
- ↵
- Damery S
- ↵National Institute for Health and Care Excellence. HIV testing: increasing uptake among people who may have undiagnosed HIV. NICE, 2016. www.nice.org.uk/guidance/ng60/chapter/Recommendations#offering-and-recommending-hiv-testing-in-different-settings.
Article Tools
Feedback on CME haematology
Kaveh Manavi
Clinical Medicine Jan 2019, 19 (1) 90-91; DOI: 10.7861/clinmedicine.19-1-90b
Citation Manager Formats
Jump to section
Related Articles
- No related articles found.
Cited By...
- No citing articles found.