Peer Reviewed
Feature Article Haematology
Immune thrombocytopenia: a diagnosis of exclusion
Recent articles on:
Platelet disorders
Platelet disorders
Abstract
Immune thrombocytopenia (ITP) is best understood as an immune-mediated disorder of increased platelet destruction and impaired megakaryopoiesis. Most patients with ITP can be managed with careful monitoring alone or with traditional first- and second-line therapies with proven efficacy.
Key Points
- Immune thrombocytopenia (ITP), previously known as idiopathic thrombocytopenic purpura, is not a single disease but instead encompasses a heterogenous group of disorders with a common manifestation.
- ITP is due to both accelerated platelet destruction and insufficient platelet production.
- The threshold for treatment in ITP is a platelet count of less than 30 x 109/L, or any evidence of bleeding with a platelet count of less than 50 x 109/L.
- ITP in adults is most frequently chronic.
- Thrombocytopenia in pregnancy has several causes (usually not immune) and careful planning may be required to manage it safely.
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