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Idiopathic Thrombocytopenic Purpura

What is Idiopathic Thrombocytopenic Purpura?

Idiopathic Thrombocytopenic Purpura is a condition in which the blood does not clot as quickly as it should due to a low number of platelets.

 

Idiopathic Thrombocytopenic Purpura is a condition in which the blood does not clot as quickly as it should due to a low number of platelets.
Acknowledgement of Idiopathic Thrombocytopenic Purpura has not been added yet.
6.6http://rarediseases.org/rare-diseases/idiopathic-thrombocytopenic-purpura/
Synonyms for Idiopathic Thrombocytopenic Purpura has not been added yet.
ITP is a type of autoimmune disorder, which means that the body’s natural immune defenses inappropriately act against the body’s own healthy tissues (https://rarediseases.info.nih.gov/gard/5194/idiopathic-thrombocytopenic-purpura/resources/1). In the case of this disease, an abnormal immune response is launched against blood cells known as platelets. The body’s lymph tissues and spleen are stimulated to produce anti-platelet antibodies, which attach to the platelets for a reason that is still unknown currently. Since this “antibody-platelet complex” is identified as foreign, the immune system is mislead and proceeds to attack these cells. As a result, the number of platelets in the blood decreases, and the symptoms of ITP may appear (http://rarediseases.org/rare-diseases/idiopathic-thrombocytopenic-purpura/). Symptoms can also occur following an acute viral infection or upper respiratory illness, since antibodies produced to fight foreign viral substances (antigens) may cross-react with the platelets.
There are many cases of ITP where the patient is asymptomatic, meaning that there are no visible signs of the disease until the platelet population is extremely low (http://rarediseases.org/rare-diseases/idiopathic-thrombocytopenic-purpura/). Some of the most common disorder symptoms include skin that bruises very easily, rashes consisting of small red dots (petechiae) that represent small hemorrhages, bleeding from any area of the body made obvious by blood in urine or feces, bleeding from the gums, consistent and long-lasting nose bleeds, and abnormal menstruation. In some patients, this frequent loss of blood through bleeding episodes can result in weakness or fatigue, caused by reduced number of oxygen-transporting red blood cells. Specifically for female patients, some will experience heavy menstrual bleeding (https://rarediseases.info.nih.gov/gard/5194/idiopathic-thrombocytopenic-purpura/resources/9). In very cases of the disease, some have had intracranial hemorrhages, which is when bleeding occurs within the skull.
When completing a diagnosis for ITP, it is very important to confirm that the low population of platelets (thrombocytopenia) is not a result of other conditions such as acute leukemia and aplastic anemia (http://rarediseases.org/rare-diseases/idiopathic-thrombocytopenic-purpura/). For example, normal appearing red blood cells or white blood cells will rule out leukemia and/or aplastic anemia from possible causes of the symptoms. Although there is no “gold standard” diagnostic test for ITP, doctors will use a combination of history checks, physical examinations, complete blood counts and the peripheral blood smear examination (http://www.orpha.net/). After the most common test for this disease, which is a simple blood test to determine the number of platelets, any observations of unusual cells will require a biopsy of the bone marrow.
Diagnostic tests of Idiopathic Thrombocytopenic Purpura has not been added yet
In many cases of ITP (especially the acute form), no therapy is required, and the disorder may resolve itself (spontaneous resolution) (http://www.orpha.net/). If treatment is necessary, however, corticosteroids are the standard first-line treatment (http://rarediseases.org/rare-diseases/idiopathic-thrombocytopenic-purpura/). These are drugs that mimic the effects of hormones your body produces naturally in your adrenal glands (Prednisone and other corticosteroids - Mayo Clinic). If pharmaceutical treatment does not reduce symptoms sufficiently, another treatment option is intravenous immunoglobulins (IVIG). This procedure involves the injection of a protein into the bloodstream periodically. This can be expensive and does not lead to a cure, but is an effective emergency treatment in cases of severe bleeding (http://patient.info/health/immune-thrombocytopenia-leaflet).
80% of Children have "acute" cases which resolve within 6-12 months. 20% of Adults seem to have "acute" cases, 80% are considered chronic, but many of those do not require treatment.
Name Description
Annabelle Find a hematologist who is very familiar with ITP...not all hematologists/oncologists are. If you are seeing a doctor who says steroids and splenectomy are the only two treatments available, you know you're seeing someone who's about 10-15 years behind the curve.
References of Idiopathic Thrombocytopenic Purpura has not been added yet.
Treatments for Aquired amegakaryocytic thrombocytopenia ITP Created by kcamiel
Last updated 11 Feb 2009, 01:46 PM

Posted by julesquick
11 Feb 2009, 01:46 PM

Hi - I was treated with IVIG, Ratuxin, Prednisone and CellCept. It wasn't until they started the CellCept that any change occurred....keep the faith...there is also High Dose Cytoxan if everyting else fails. I know you posted a while ago, and I hope everything as worked out. Best of Luck to you.

Posted by kcamiel
23 Sep 2008, 03:55 PM

My son, 20, has tried started treatment with no positive results. Anyone have info on results and what comes next? Predinsone - no change WinRho - no change He starts IV immunoglobulin this week. Any info on that?

Community External News Link
Title Date Link
Community Resources
Title Description Date Link
UK ITP Support Association

The ITP Support Association is a UK registered charity which aims to promote and improve the general welfare of patients, and the families of patients, with Immune (Idiopathic) Thrombocytopenic Purpura.

03/20/2017
Platelet Disorder Support Association

The Platelet Disorder Support Association is a non-profit corporation founded in August, 1998 to provide information, support, and encourage research about ITP and other platelet disorders.

03/20/2017

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Treatments for Aquired amegakaryocytic thrombocytopenia ITP

Created by kcamiel | Last updated 11 Feb 2009, 01:46 PM


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