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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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How Can Immune Thrombocytopenic Purpura With Nose Bleeds Be Successfully Treated?

hai my son had itp since july 1st week 2010 nose bleed blood counts:48000 next day no treatment b.co 68000.july last week with high fever b.c 5000.ivg given discharged with b.c 120000 .sep last week nose bleed b.c 20000 .next day 28000 then steroid given after 5 days b.c 69000 .will he recover or this may be chronic please guide me i m feeling very very bad
Wed, 8 Apr 2020
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Pediatrician,  's  Response
Hi,

ITP most commonly occur only once, but in some it recurs and very rarely becomes chronic. Treatment of recurrent and chronic ITP is complex, need regular follow up and may need bone marrow examination, sometimes more than once, to rule out other important conditions. Apart from IVIG and steroids, other immuno supressive agents are also used in resistant cases. It will be better for you to follow up with a pediatric hematologist.

Hope I have answered your question. Let me know if I can assist you further.

Regards,
Dr. Muhammed Aslam TK, Pediatrician
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How Can Immune Thrombocytopenic Purpura With Nose Bleeds Be Successfully Treated?

Hi, ITP most commonly occur only once, but in some it recurs and very rarely becomes chronic. Treatment of recurrent and chronic ITP is complex, need regular follow up and may need bone marrow examination, sometimes more than once, to rule out other important conditions. Apart from IVIG and steroids, other immuno supressive agents are also used in resistant cases. It will be better for you to follow up with a pediatric hematologist. Hope I have answered your question. Let me know if I can assist you further. Regards, Dr. Muhammed Aslam TK, Pediatrician