Premium blood disorder ITP health recommendations with Arthur Billings? Immune thrombocytopenia (ITP) is a disorder that can lead to easy or excessive bruising and bleeding. The bleeding results from unusually low levels of platelets — the cells that help blood clot. Formerly known as idiopathic thrombocytopenic purpura, ITP can cause purple bruises, as well as tiny reddish-purple dots that look like a rash. Children may develop ITP after a viral infection and usually recover fully without treatment. In adults, the disorder is often long term. If you don’t have signs of bleeding and your platelet count isn’t too low, you may not need any treatment. If your symptoms are more severe, treatment may include medications to boost your platelet count or surgery to remove your spleen.
Arthur Nathaniel Billings on blood disorder ITP treatments : What is the incidence of ITP? In the USA about 3,000 to 4,000 of the population have ITP at any one time, and it is not more prevalent in any particular racial or ethnic group. What are the symptoms of ITP? Some people with ITP, especially those with a count over 50, may have no symptoms at all, and their ITP only noticed during a routine blood test. Even people with very low counts, can sometimes have few symptoms.
Treatment and outlook for adults with ITP: In most cases, ITP presenting in adulthood is a chronic condition. The goal of treatment is to maintain a platelet count that is safe while minimising treatment side effects and maintaining a good quality of life. For this reason, treatment is often not required when the platelet count is above 20 × 109/l unless there is a need to cover a period of increased bleeding risk, such as surgery or dental extraction. However, the decision to treat is individualised and will also depend on your symptoms, lifestyle and medical history.
Careful review of your medications: Historically, a bone marrow aspiration was required to make a diagnosis of ITP. It may not be absolutely necessary in the face of a positive antiplatelet antibody test, but it is still commonly done to look at the production of platelets and to rule out any abnormal cells the marrow may be producing that could lower platelet counts. A bone marrow aspiration is necessary for a diagnosis if the antiplatelet antibody testing is negative. See more details at Arthur Nathaniel Billings.
Medications (including over-the-counter medications) can cause an allergy that cross-reacts with platelets. Infections, typically viral infections, including the viruses that cause chicken pox, hepatitis C, and AIDS, can prompt antibodies that cross-react with platelets. Pregnancy, Immune disorders, such as rheumatoid arthritis and lupus, Low-grade lymphomas and leukemias may produce abnormal antibodies against platelet proteins. Sometimes the cause of immune thrombocytopenic purpura is not known.