2025 ICD-10-CM code D69.51
Posttransfusion purpura (PTP) is an adverse reaction to blood or platelet transfusion, causing sudden thrombocytopenia about 7-10 days post-transfusion.
The medical necessity for treatment of PTP is established by the presence of severe thrombocytopenia and bleeding or the risk of significant bleeding due to the low platelet count.
Clinicians diagnose PTP based on patient history, physical examination, and symptoms.Laboratory testing includes antiplatelet antibody tests. Treatment typically involves intravenous immunoglobulins, corticosteroids, and plasmapheresis.
- Chapter 3: Diseases of the blood and blood-forming organs and certain disorders involving the immune mechanism
- D65-D69: Coagulation defects, purpura and other hemorrhagic conditions
In simple words: Post-transfusion purpura (PTP) is a rare reaction to a blood or platelet transfusion where the body's immune system attacks its own platelets. This usually happens about a week after the transfusion and causes a low platelet count, which can lead to bleeding problems.
Post-transfusion purpura (PTP) is a rare but serious immune-mediated adverse reaction that occurs after a blood or platelet transfusion.It typically develops 7-10 days post-transfusion and is characterized by a sudden and severe drop in platelet count (thrombocytopenia), which can lead to bleeding. PTP is most commonly seen in women with a history of multiple pregnancies or previous transfusions, and it occurs due to the formation of antibodies, often against the human platelet antigen HPA-1a, leading to platelet destruction.
Example 1: A 45-year-old woman with a history of multiple pregnancies develops severe thrombocytopenia and bleeding one week after receiving a blood transfusion., A 60-year-old man who has received multiple transfusions in the past experiences sudden onset of bruising and petechiae 10 days after a platelet transfusion. , A 30-year-old woman develops PTP after her first blood transfusion, later testing positive for antibodies against HPA-1a.
Documentation should include transfusion history, date of transfusion, onset of symptoms, platelet counts, results of antiplatelet antibody testing, and treatment provided.
- Specialties:Hematology, Transfusion Medicine, Internal Medicine
- Place of Service:Inpatient Hospital, Outpatient Hospital