{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,12,31]],"date-time":"2025-12-31T07:50:01Z","timestamp":1767167401720,"version":"build-2238731810"},"reference-count":15,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T00:00:00Z","timestamp":1612224000000},"content-version":"vor","delay-in-days":32,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Case Reports in Pediatrics"],"published-print":{"date-parts":[[2021,1]]},"abstract":"<jats:p>Immune thrombocytopenia (ITP) is a disorder characterized by immune\u2010mediated destruction of thrombocytes leading to peripheral blood platelet count of &lt;100\u2009\u00d7\u200910^9\/L. Primary ITP is a terminology used in the absence of other causes or disorders that may be associated with thrombocytopenia, i.e., isolated thrombocytopenia. The term secondary ITP is used if such diseases coexist. We present here a case of a 14\u2010year\u2010old female diagnosed with immune thrombocytopenia. When her evaluation was not strongly supportive of primary ITP, she was screened and proved to have a concomitant Hashimoto thyroiditis. Contrary to the popular belief about secondary ITP in adult population, treatment of our patient\u2019s hypothyroidism did not improve her platelet\u2019s count, and the patient needed multiple immunosuppressive medications to improve her condition.<\/jats:p>","DOI":"10.1155\/2021\/6649155","type":"journal-article","created":{"date-parts":[[2021,2,2]],"date-time":"2021-02-02T16:52:40Z","timestamp":1612284760000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Chronic Immune Thrombocytopenia and Hashimoto\u2019s Hypothyroidism in an Adolescent: Presentation and 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