Hello Gloria, welcome to healthcaremagic.com
Sorry to hear about your boy. there are few case reports in the literature of association of ITP and
Rheumatoid Arthritis. However, these other conditions should also be kept in mind and ruled out
RA+systemic lupus erythematosus (SLE) [Ruled out]
Felty’s syndrome
RA with drug-induced thrombocytopenia
A various Laboratory test is required to rule out the same.
I also need few other answers from you about your son.
1) Is there any morning stiffness?
if yes how long does the stiffness lasts?
2) Is there involvement of joints of finger/hand/toes?
any associated swelling of the joints?
3) Detail about decreasing grip?
4) are there any feeling of
tingling, numbness?
5) any visible wasting of muscles?
6) does he have any Respiratory difficulty?
7) Any part of upper or lower limbs with impaired sensation?
ITP with RA is refractory to
steroid treatment in certain cases gamma immunoglobulin(IVIG), Immunosuppressant or even
splenectomy is required.
To determine the cause, a detailed history along with physical examination and laboratory test are required. considering very few case reports in the literature regarding this disease my recommendation is for you to visit a
Rheumatologist for your son's case.
Warm Regards
Dr. Sumit Chawla