Idiopathic thrombocytopenic purpura (ITP) is defined as a hematologic disorder, characterized by isolated thrombocytopenia without a clinically apparent cause. 19 Jan Read our article and learn more on MedlinePlus: Immune thrombocytopenic purpura (ITP). woc idiopatik trombositopenia purpura – Free download as Word Doc .doc /. docx), PDF File .pdf), Text File .txt) or view presentation slides online.

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Blanchette VS, Carcao M. Extraoral examination revealed petechial spots over the neck on right side [ Figure 1 ], petechial spots over the forearms, and petechial spots over the right arm [ Figure 2 ].

Rituximab and dexamethasone vs dexamethasone monotherapy in newly diagnosed patients with primary immune thrombocytopenia. On examination of the bone marrow, an increase in the production of megakaryotes is seen and can help in determining ITP.


The dose and mode of administration is determined by platelet count and whether there is active bleeding: Provan D, Newland AC. Share Email Print Feedback Close. Chronic immune thrombocytopenic purpura. The IgG autoantibodies are also thought to damage megakaryocytesthe precursor cells to platelets, although this is believed to contribute only slightly to the decrease in platelet numbers. In adults, the peak prevalence is from years of age.

Chemistry of Plants That Changed the World. Recent research now indicates that impaired production of the glycoprotein hormone thrombopoietinwhich is the stimulant for platelet production, may be a contributing factor to the reduction in circulating platelets.


Anti-platelet autoantibodies in a pregnant woman with ITP will attack the patient’s own platelets and will also cross the placenta and react against fetal platelets.

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Dapsone for chronic autoimmune thrombocytopenic purpura: Effect of a single dose of rituximab in chronic immune thrombocytopenic purpura in childhood. Current guidelines recommend trombosigopenia only in cases of significant bleeding.

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Immune thrombocytopenic purpura – Wikipedia

Views Read Edit View history. This website also contains material copyrighted by 3rd parties. Many older recommendations suggested a certain platelet count threshold usually somewhere below Identifying drugs that cause acute thrombocytopenia: Nplate is an experimental treatment for stimulating platelet production.

The major goal for treatment of ITP is to provide a safe platelet count to prevent major bleeding and avoid unnecessary treatment of asymptomatic patients with mild to moderate thrombocytopenia. Immune idiopathic thrombocytopenic purpura: Vascular complications after splenectomy for hematologic disorders.

Splenectomy for immune thrombocytopenic purpura: Jayachandranand Khushboo Singh. Ninety-six percent of reported ITP-related deaths were individuals 45 years or older. Serious infections in adults following splenectomy for trauma.

Immune thrombocytopenic purpura

Cellular immune mechanisms in autoimmune thrombocytopenic purpura: Widespread petechiae and ecchymoses, oozing from a venipuncture site, gingival bleeding, and hemorrhagic bullae indicate that the patient is at risk for a serious bleeding complication. Patient was admitted in Hematology Ward, Government General Hospital, Chennai on and treatment was started as described below: Romiplostim for the treatment of chronic immune idiopathic thrombocytopenic purpura. These clinical presentations suggest that the triggering events may be different.


This is because the underlying autoimmune mechanism that destroyed the patient’s platelets to begin with will also destroy donor platelets. International consensus report on the investigation and management of primary immune thrombocytopenia. Fulminant sepsis in adults splenectomized for idiopathic thrombocytopenic purpura. It causes a characteristic purpuric rash and an increased tendency to bleed. In a fifth, the platelet count normalized completely; this response rate is similar to that found in treatment with rituximab, which is more expensive and less safe.

This article has been cited by other articles in PMC. Eur J Haematol Suppl. Chronic idiopathic thrombocytopenic purpura.

Idiopathic Thrombocytopenic Purpura (ITP) in Emergency Medicine

In children, the disease affects boys and girls equally. The size and phrpura of the platelets may be abnormal. Relative marrow failure may contribute to this condition, since studies show that most patients have either normal or diminished platelet production. Therefore, ITP is a significant cause of fetal and neonatal immune thrombocytopenia.

D ICD – A French study reported an incidence of ITP of 2. Immune thrombocytopenic purpura – current management practices. Bleeding into the brain may also occur. In children, most cases of immune thrombocytopenic purpura Idiopwtik are acute, manifesting a few weeks after a viral illness.