ITP: immune thrombocytopenia; IVIG: intravenous immune globulin; TPO-RA: thrombopoietin receptor agonist.
* Many patients with platelet counts <20,000 to 30,000/microL do not require treatment.
¶ The interval for rechecking the platelet count is individualized based on the patient's clinical status, typically ranging from a few days to a week. Responses to glucocorticoids typically occur within a few days (range, 2 to 14 days); responses to IVIG (or anti-D) can occur within 1 to 3 days.
Δ Splenectomy is generally deferred for at least 12 months after diagnosis (if possible), in case a spontaneous remission occurs.
◊ Other treatments include danazol, other immunosuppressive agents, or combination therapy.
§ The risk of adverse drug effects must be balanced against the benefit of raising the platelet count in an asymptomatic patient (refer to UpToDate for discussion).آیا می خواهید مدیلیب را به صفحه اصلی خود اضافه کنید؟