Jemy Elizabeth Joseph

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Autoimmune thrombocytopenia is an uncommon but reported paraneoplastic manifestation of renal cell carcinoma (RCC). Treatment usually involves management of the underlying malignancy; however, steroids have shown a benefit in published case reports. Here, we describe a patient with profound thrombocytopenia secondary to metastatic RCC. It was refractory to(More)
Symptomatic cytomegalovirus (CMV) in immunocompetent individuals is an uncommon, yet recognised, phenomenon. This report discusses a case of CMV-associated thrombocytopenia refractory to immunomodulation and antivirals. Ultimately, a clinicopathological response was attained with eltrombopag. This is the first report of the efficacy of thrombopoietin(More)
Received March 12, 2013 Revised Apr 20, 2013 Accepted May 23, 2013 The neonatal unit frequently occupied by newborns that are marginally viable or critically unwell and could be considered as terminally ill. It is a busy, highly technical environment with advanced life saving medical equipments, at its disposal. The technology has had a profound effect on(More)
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