Welcome to Health Care Magic Forum:
ITP is caused by auto antibodies
against our own platelets. When there is a severe bleeding and platelets count very low, IVIG can be preferred. It rapidly improves the platelet count
and resolves the symptoms (bleeding). Any improvement in platelet count is temporary. IVIG has to repeated until the plates count comes to normal. IVIG action is temporary for that episode of ITP. Child can have another episode of ITP. Again he might need IVIG. IVIG is not permanent fix for ITP.
IVIG is safer medication. Still it can cause nausea and vomiting, headaches or fever. Rarely it can cause aseptic meningitis
, abnormal blood clots
or kidney failure
Other than IVIGs, some physicians prefer Rh antibodies. They are also antibodies. But the mechanism is different. But cost wise both are all most same. Steroids (prednisone
) can be given. But they cannot increase the platelet count rapidly. They work slowly. They can be given for few weeks.
ITP resoles by its own. The child needs weekly or biweekly assessment of platelet count until they are normal in counts.