Large Ovarian Hemorrhagic Cyst and Immune Thrombocytopenia as Early Manifestations of Systemic Lupus Erythematosus (SLE)

Hematologic abnormali «es are generally present among systemic lupus erythematosus pa» ents. Idiopathic thrombocytopenic purpura can be the first manifesta«on of SLE, followed by other symptoms and signs of disease appearing several years later. Although bleeding due to immune thrombocytopenic purpura is usually mild and occurs in mucocutaneous surfaces, but it may be severe and represent in unusual sites such as an ovarian cyst. We report a case of SLE presented with immune thrombocytopenia and a large hemorrhagic ovarian cyst.