How is immune thrombocytopenic purpura (ITP) managed in children?

Updated: Jun 28, 2019
  • Author: Craig M Kessler, MD, MACP; Chief Editor: Srikanth Nagalla, MBBS, MS, FACP  more...
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Most children with acute ITP do not require treatment, and thrombocytopenia resolves spontaneously. [7] The American Society of Hematology (ASH) recommends that children who have no bleeding or mild bleeding (eg, cutaneous manifestations such as bruising and petechiae) be managed with observation alone regardless of platelet count. [8] A retrospective review by Schultz et al found that this approach did not lead to an increase in later treatment or an increase in delayed bleeding. [49]

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