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Print Diagnosis To diagnose idiopathic thrombocytopenic purpura, your doctor will try to exclude other possible causes of bleeding and a low platelet count, such as an underlying illness or medications you or your child may be taking.
Complete blood count CBC. This common blood test is used to determine the number of blood cells, including platelets, in a sample of blood.
With ITP, white and red blood cell counts are usually normal, but the platelet count is low. This test is often used to confirm the number of platelets observed in a complete blood count.
A sample of blood is placed on a slide and observed under a microscope. Platelets are produced in the bone marrow — soft, spongy tissue in the center of large bones. In some cases, a sample of bone tissue and the enclosed marrow is removed in a procedure called a Living with thrombocytopenia marrow biopsy.
Or your doctor may do a bone marrow aspiration, which removes some of the liquid portion of the marrow. In many cases, both procedures are performed at the same time bone marrow exam. In people with ITP, the bone marrow will be normal because a low platelet count is caused by the destruction of platelets in the bloodstream and spleen — not by a problem with the bone marrow.
Treatment People with mild idiopathic thrombocytopenic purpura may need nothing more than regular monitoring and platelet checks. Children usually improve without treatment. Treatment may include a number of approaches, such as medications to boost your platelet count or surgery to remove your spleen splenectomy.
Talk with your doctor about the risks and benefits of your treatment options. Some people find that the side effects of treatment are more burdensome than the effects of the disease itself. Medications Your doctor will talk with you about medications or supplements you take and whether you need to stop using any that might inhibit platelet function.
Your doctor may prescribe one or more of the following medications to treat ITP: Drugs that suppress your immune system.
Your doctor will likely start you on an oral corticosteroid, such as prednisone. This drug may help raise your platelet count by decreasing the activity of your immune system. Once your platelet count is back to a safe level, you can gradually discontinue taking the drug under the direction of your doctor.
In general, this takes about two to six weeks. The problem is that many adults experience a relapse after discontinuing corticosteroids. These include cataracts, high blood sugar, increased risk of infections and thinning of bones osteoporosis.
Injections to increase your blood count. This drug may also be used if you have critical bleeding or need to quickly increase your blood count before surgery.Merck and the Merck Veterinary Manual.
Merck & Co., Inc., Kenilworth, NJ, USA is a global healthcare leader working to help the world be well. From developing new therapies that treat and prevent disease to helping people in need, we are committed to improving health and well-being around the world.
Living with ITP can be scary, but at PDSA we’re here to empower you on a broad range of topics including diagnosis, prevention and management, treatme.
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