Childhood chronic immune thrombocytopenic purpura (ITP)

被引:30
|
作者
Blanchette, V [1 ]
机构
[1] Hosp Sick Children, Dept Hematol Oncol, Toronto, ON M5G 1X8, Canada
关键词
chronic immune thrombocytopenic purpura (ITP); childhood; splenectomy;
D O I
10.1054/blre.2001.0176
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Chronic immune thrombocytopenic purpura (ITP) develops in approximately 20% of children with acute ITR Treatment requires differentiating the truly idiopathic state from thrombocytopenias associated with other disorders. Treatment is recommended in cases where platelet counts drop below 20 x 10(9)/L. Therapeutic options include corticosteroids, intravenous immunoglobulin TG(IVIg), and anti-D, as well as splenectomy. The benefits and disadvantages of each modality are reviewed, as well as the management of postsplenectomy failures. (C) 2002, Elsevier Science Ltd. All rights reserved.
引用
收藏
页码:23 / 26
页数:4
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