case_images: PMC8040692_01
case_images: Post-vaccination platelet count.
case_images: JBM-12-221-g0001.jpg
case_images: PMC8040692_01_JBM-12-221-g0001.jpg
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case_images: Immune suppression with dexamethasone (20 mg/day) was continued after hospital discharge. (See Figure 1) Due to persistent severe thrombocytopenia, platelet count 21 x 109/L, the TPO-RA eltrombopag (50 mg/day) was initiated on post-vaccination day ten. On post-vaccination day 15, he received high dose methylprednisolone (1 mg/kg/day) and romiplostim (5 mcg/kg) with no increase in the platelet count for the next five days (See Figure 1).