Idiopathic thrombocytopenic purpura (ITP) is defined as a hematologic disorder, characterized by isolated thrombocytopenia without a clinically apparent cause. 19 Jan Read our article and learn more on MedlinePlus: Immune thrombocytopenic purpura (ITP). woc idiopatik trombositopenia purpura – Free download as Word Doc .doc /. docx), PDF File .pdf), Text File .txt) or view presentation slides online.

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Foreign Atopic eczema Allergic urticaria Allergic rhinitis Hay fever Allergic asthma Anaphylaxis Food allergy common allergies include: Retrieved from ” https: Cellular immune mechanisms in autoimmune thrombocytopenic purpura: Platelets which have been bound by antibodies are taken up by macrophages in the spleen which have Fc receptorsand so removal of the spleen reduces platelet destruction. Immune thrombocytopenia, neonatal alloimmune thrombocytopenia, and posttransfusion purpura.

Petechia of the lower leg in a person with platelets of 3 due to ITP. Platelet transfusion alone is normally not recommended except in an emergency, and is usually unsuccessful in producing a long-term platelet count increase. Need a Curbside Consult?

Idiopathic thrombocytopenic purpura

The spleen and splenectomy in immune idiopathic thrombocytopenic purpura. Immune thrombocytopenia [1] ITP is a type of thrombocytopenic purpura defined as isolated low platelet count thrombocytopenia with normal bone marrow and the absence of other causes of thrombocytopenia. Need a Curbside Consult? Factors predicting long-term responses to splenectomy in patients with idiopathic thrombocytopenic purpura.

Immune thrombocytopenic purpura – current management practices. Vascular complications after splenectomy for hematologic disorders. In immune thrombocytopenic purpura Idiopqtikan abnormal autoantibody, usually immunoglobulin G IgG with specificity for one or more platelet membrane glycoproteins, binds to circulating platelet membranes. Immune thrombocytopenic purpura ITP. Platelet transfusion is not normally recommended and is usually unsuccessful in raising a patient’s platelet count.


The efficacy of rituximab in patients with splenectomized refractory chronic idiopathic thrombocythopenic purpura.

Chronic ITP persists longer than 6 months without a specific cause. Rarely, splenectomy may be required to manage acute hemorrhage [ 19 ].

The annual incidence of immune thrombocytopenic purpura ITP is estimated to be five cases perchildren and two cases peradults, [ 2 ] but these data are not from large population-based studies. Br J Haematol ; The bleeding manifestations of thrombocytopenia are described as mucocutaneous to distinguish them from coagulation disorders like hemophilia.

Thrombopoietin and platelet production in chronic immune thrombocytopenia. Archived from the original on It causes a characteristic purpuric rash and an increased tendency to bleed.

What would you like to print? Pregnant women require special consideration for delivery, as follows [ 18 ]:.

Immune thrombocytopenic purpura (ITP)

Most cases of acute ITP, particularly in children, are mild and self-limited and may not receive medical attention. Thrombopoietin TPO receptor agonists including eltrombopag and romiplostim have offered an important new option in treating ITP. Practice Essentials Immune thrombocytopenic purpura ITP is a clinical syndrome in which a decreased number of circulating platelets thrombocytopenia see the image below manifests as a bleeding tendency, easy bruising purpuraor extravasation of blood from capillaries into skin and mucous membranes petechiae.

Recurrent idiopathic thrombocytopenic purpura in childhood.

Immune thrombocytopenic purpura – Wikipedia

This is because the underlying autoimmune mechanism that destroyed the patient’s platelets to begin with will also destroy donor platelets. Graves’ disease Myasthenia gravis Pernicious anemia. Randomized trial of anti-D immunoglobulin versus low-dose intravenous immunoglobulin in the treatment of childhood chronic idiopathic thrombocytopenic purpura. Based on a work at https: Buku Ajar Ilmu Penyakit Dalam.


First, it has to be determined that there are no blood abnormalities idiopatlk than a low platelet count, and no physical signs other than bleeding. Most cases respond during the 1 st week of treatment.

In children, bone marrow examination is not required except in patients with atypical hematologic findings, such as immature cells on the peripheral idiopaatik or persistent neutropenia. The dose and mode of administration is determined by platelet count and whether there is active bleeding: However, it is uncommon in adults.

Efficacy of romiplostim in patients with chronic immune thrombocytopenic purpura: Clinical and laboratory predictors of chronic immune thrombocytopenia in children: However, since the diagnosis depends on the exclusion of other causes of a low platelet count, additional investigations such as a bone marrow biopsy may be necessary in some cases.

Splenectomy removal of the spleen may be considered in patients who are either unresponsive to steroid treatment, have frequent relapses, or cannot be tapered off steroids after a few months.