DOI: 10.36347/sjmcr.2014.v02i10.013

Pages: 684-686

Rhabdomyosarcoma (RMS) is a group of soft tissue malignities arises from muscules. In adults head and neck involvement is rare. Immun thrombocytopenic purpura (ITP) is isolated thrombocytopenia with normal results of complete blood count and peripheral blood smear without associated conditions that can cause thrombocytopenia. Autoantibadies against the platelet membrane antigens are thought to be the causative factor. Chronic kidney disease (CKD) is the presence of kidney damage or reduction of glomerular filtration rate more than 3 months. 42 year old woman was diagnosed as craniofacial rhabdomyosarcoma and extended medial maxillectomy was performed. In a routine control, platelet count of 16,000/ mcl was detected 6 months after chemotherapy and ITP was diagnosed. 5 years after the diagnosis of RMS, her urea and creatinine levels began to increase gradually and sustained so she was diagnosed as CKD. In this case RMS, ITP and CKD were diagnosed respectively. During the follow- up period, especially for patients with malignant disorders, physicians should be on alert about additional disorders.