is a condition which can be refractory to treatment and steroid dependence may result. There are a number of options available which can be tried in refractory cases, and to reduce the dose of steroids
and its side effects. Breathlessness is not a common symptom in these patients unless the bleeding due to drop in platelet is so severe that there is a marked drop in hemoglobin
with ensuing cardiac failure or there is bleed into the lungs due to decreased platelets. You need to consult a good hematologist/immunologist for the same. You may go to AIIMS, New Delhi. Thank you.