Immune thrombocytopenia (ITP) is a type of thrombocytopenic purpura defined as isolated low platelet count (thrombocytopenia) with normal bone marrow and. Idiopathic thrombocytopenic purpura (ITP) or immune thrombocytopenic purpura is a disease .. Purwanto I. Purpura trombositopenia idiopatik. In: Sudoyo AW. Idiopathic thrombocytopenic purpura (ITP) or immune thrombocytopenic purpura is a disease Purwanto I. Purpura trombositopenia idiopatik.

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Infobox medical condition new All articles lacking reliable references Articles lacking reliable references from July Sudden and severe loss of blood from the digestive tract may occur. Retrieved from ” https: This is because the underlying autoimmune mechanism that teombositopenia the patient’s platelets to begin with will also destroy donor platelets.

The bone marrow is usually normal or shows increased megakaryocytes.

Idiopathic thrombocytopenic purpura

Buku Ajar Ilmu Penyakit Dalam. Therefore, ITP is a significant cause of fetal and neonatal immune thrombocytopenia. ITP is a disorder that affects the overall number of blood platelets rather than their function. Initial treatment usually consists of the administration of corticosteroidsa group of medications that suppress the immune system.

Another option, suitable for Rh-positive patients with functional spleens is intravenous administration of Rho D immune globulin [Human; Anti-D]. Prevalence of immune thrombocytopenia: All medications for ITP are given either orally or IV; intramuscular injection is avoided due to the possibility of causing bleeding into the skin.


Durable remission following splenectomy is achieved in 75 percent of ITP cases. Goldman L, Schafer AI, eds. Anti-platelet autoantibodies in a pregnant woman with ITP will attack the patient’s own platelets and will also cross the placenta and react against fetal platelets.

Secondary causes could be leukemia, medications e. Diseases of platelet jdiopatik Semple JW, Freedman J.

Idiopathic thrombocytopenic purpura

It is more common in children than adults. N Engl J Med. Conclusion The initial treatment of ITP includes: No complications were observed and all the lesions were resolved completely. ITP is an autoimmune disease with antibodies detectable against several platelet surface antigens.

Thrombopoietin receptor agonists are pharmaceutical agents that stimulate platelet production in the bone marrow. Accessed Juni 10, Rituximab chimeric anti-CD20 monoclonal antibody treatment for adult refractory idiopathic thrombocytopenic purpura. Abnormally heavy periods in women Bleeding into the skinoften around the shins, causing a skin rash that looks like pinpoint red spots petechial rash Easy bruising Nosebleed or bleeding in the mouth.

Although most cases are asymptomatic, very low platelet counts can lead to a bleeding diathesis and purpura. The initial treatment of ITP includes: National Heart, Lung, and Blood Institute — www.

Immune thrombocytopenic purpura (ITP): MedlinePlus Medical Encyclopedia

However, other drug treatments are usually recommended instead. This page was last edited on 27 Septemberat Eltrombopag for the treatment of chronic idiopathic thrombocytopenic purpura. Thrombopoietin TPO receptor agonists including eltrombopag and romiplostim have offered an important new option in treating ITP.


In fact, an enlarged spleen should lead to a search for other possible causes for the thrombocytopenia.

However, while sometimes effective, it is costly and produces improvement that generally lasts less than a month. The exact mechanism by which dapsone assists in ITP is unclear.

Signs of chronic disease, infection, wasting, or poor nutrition indicate that the patient has another illness. Hemolytic disease of the newborn. Hannover, Helwig, We present a case report on ITP with clinical presentation, diagnosis and management. Not to be confused with autoimmune thrombotic thrombocytopenic purpura. History of presenting illness revealed that patient noticed bleeding from his gums in lower front teeth region approximately 2 weeks before reporting to department and patient was having purpuric spots on body legs, hands, and neck since past 2 months.

Hematol Oncol Clin North Am.

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