What is the prognosis for patients with immune thrombocytopenia (ITP)?

Updated: Dec 14, 2019
  • Author: Michael A Silverman, MD, MD; Chief Editor: Gil Z Shlamovitz, MD, FACEP  more...
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Answer

Approximately 83% of children have a spontaneous remission, and 89% of children eventually recover. More than 50% recover within 4-8 weeks. Approximately 2% die.

Only 2% of adults have a spontaneous recovery; however, approximately 64% of adults eventually recover. Approximately 30% have chronic disease, and 5% die from hemorrhage.

Complications of immune thrombocytopenia and its treatment may include the following:

  • Intracranial or other major hemorrhage
  • Severe blood loss
  • Adverse effects of corticosteroids
  • Pneumococcal infections if the patient must have a splenectomy

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