Initial management of adults with idiopathic (immune) thrombocytopenic purpura.

  title={Initial management of adults with idiopathic (immune) thrombocytopenic purpura.},
  author={James N George},
  journal={Blood reviews},
  volume={16 1},
Since idiopathic (immune) thrombocytopenic purpura (ITP) in adults is usually a chronic condition with few spontaneous remissions, the goal of treatment is not cure, but to maintain a hemostatically safe platelet level. The indication for treatment should be based not merely on platelet counts, but also clinical indices of bleeding. Although most patients show good initial response to prednisone, the side effects of steroids limit this treatment. Currently, long-term management usually involves… CONTINUE READING

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