| Chronic immune thrombocytopenic purpura-who needs medication? | |
| | |
MedLine Citation:
|
PMID: 20309689 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
Chronic ITP (immune thrombocytopenic purpura; now defined as duration of more than 12 months) is not always associated with significant bleeding problems so that most children and adults can be managed expectantly with no medication unless surgery, accidents or other pathology mandate it. A cut-off platelet count of 30 x 10(9)/l divides a group with no increased mortality from those whose risk is greater and in whom medication is usually appropriate. There is increasing recognition of long-term morbidity and mortality associated with immune suppression induced by medication and more recently new concerns have arisen about the long-term vascular complications of splenectomy. A more conservative approach to medication is warranted in many patients with chronic ITP. |
| | |
Authors:
|
Paula H B Bolton-Maggs; Victoria S L Kok |
Related Documents
:
|
942329 - Upper airway obstruction induced by warfarin sodium. 6477089 - Cerebral palsy: a clinical approach. 11874169 - Cephalic tetanus as a result of rooster pecking: an unusual case. 2690299 - Infections in immunocompromised patients in mexico. 11421009 - Erosion and intrusion of silicone rubber scleral buckle. presentation and management. 15862739 - The road to excellence: magnet designation, the beacon award, and primary nursing. 10502169 - Intrasphincteric botulinum toxin versus pneumatic dilatation for achalasia: a cost mini... 9203799 - A good walk spoiled. golf's links to medicine. 21339909 - Ace up the sleeve - are vascular patients medically optimized? |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2010-3-23 |
Journal Detail:
|
Title: Annals of hematology Volume: - ISSN: 1432-0584 ISO Abbreviation: - Publication Date: 2010 Mar |
Date Detail:
|
Created Date: 2010-3-23 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9107334 Medline TA: Ann Hematol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Affiliation:
|
Department of Clinical Haematology, Central Manchester and Manchester Children's University NHS Foundation Trust, Manchester Royal Infirmary, Oxford Road, Manchester, M13 9WL, UK, paula.bolton-maggs@manchester.ac.uk. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Evaluating bleeding severity in immune thrombocytopenia (ITP).
Next Document: Future research in ITP: an ICIS consensus.