Management of chronic ITP in children Plz give your valuable opinion

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General cause of About Idiopathic Thrombocytopenia Purpura (ITP) in Children.... is a blood disorder with decreased blood platelets, which may result in easy bruising, bleeding gums and internal bleeding. The cause is usually unknown, but it may be an autoimmune disorder or follow a viral illness. Best possible management by Corticosteroid treatment with its protocol.

* FIRST LINE TREATMENT.. IVIG .. STEROIDS.. * SECOND LINE TREATMENT.. SPLENECTOMY.. IMMUNOSUPPRESSIVES THERAPY.

Tnx Dr Vipin Bihari Jain sir
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Chronic ITP is uncommon in pediatric patients. Make sure this is not an inherited low platelet disorder!! I see it commonly where a patient has been treated for years for "ITP" where as it is an inherited platelet disorder. History specially bleeding history and family history and testing other family members is important.

Advised Steroids Immunoglobulines I v Splenectomy

IVIG Corticosteroids Splenectomy

Tq.dr.Vipin bihari jain
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Platelet transfusion steroids splenectomy

High dose dexamethasone followed by a maintenance course IVIG only in needs Rituximab (excellent response in many cases)

First line therapy. Intravenous IG . Corticosteroids. Second line therapy. Surgical removal of spleen. Immunosuppressive.

High dose steroids IV I Immunosuppressive therapy Rituximab If not respond than splenomegaly

Corticosteroid Intravenous immunoglobulin s

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