|
|
|
| SPECIALIST ANSWERS
|
Question |
|
What is the role of anti-D in Idiopathic thrombocytopenic purpura? and what are the side effects of using IVIG in the same condition?short tterm aswell as long term
|
|
Answer |
ANti_D has been used for treatment of Chronic ITP before patient is subjected to splenectomy. IVIG has also been tried.
Acute childhood ITP is usually self-limiting with spontaneous recovery in 90% of cases in less than 3 to 6 months from the onset. Moreover, the severity of thrombocytopenia does not correlate with the long-term outlook of recovery. Neither does any therapeutic intervention change this natural course in a given child.
Hence the bottom line is: Children with mild ITP irrespective of their platelet counts need not be treated. Those with severe bleeding symptoms and very low platelet counts may transiently benefit from use of steroids or IVIG.
|
|
|
|
|
|
|
