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What causes immune thrombocytopenic purpura?

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Posted on Thu, 21 May 2015
Question: I have ITP and
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Answered by Dr. Hardik Sanghvi (1 hour later)
Brief Answer:
Please ask your question completely.

Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
You have ITP.
It is immun thrombocytopenic purpura. It this condition your body destruct your own platelets. So it leads to reduction in platelet count.

Investigation of choice is bone marrow examination fpr confirmation.

Immunosuppressive drugs like steroids are helpful in ITP.



Please ask your question completely what you want to know? So that I can help you further.
Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Hardik Sanghvi (1 hour later)
So I have been diagnosed with itp since I was five . I ate an apple with chemicals . According to my hematologist at that time said that the problem was my spleen so because I was too young removing the spleen was not an option. To make a long story short, two months ago I for the forth time I was admitted to the hospital because my platelets decreased to four thousand so I had introvinus hemoglobins for 5 days, left the hospital with 211 thousand . Last month had blood work on 3/23 my platelets were 175 then last Friday went back for blood work and it's 11,ooo . I have been taking promacta. My question is do you think this is a spleen or bone marrow issue?
Thank you
doctor
Answered by Dr. Hardik Sanghvi (1 hour later)
Brief Answer:
It is not bone marrow problems.

Detailed Answer:
Hi, dear
I have gone through your question.
I can understand your concern.
You have chronic ITP. Very low platelets are common in ITP.
It is not bone marrow problem at all. Your bonemarrow is producing platelet normally. But you have auto immunity. So your body consider your own platelets as foreign particles. So your immunity destructs your own platelets. It is the problem.
Splenectomy is helpful in this condition.
Otherwise steroids is the drug of choice. Intravenous immunoglobulin can be helpful.
Consult your doctor and take treatment accordingly.
Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Follow up: Dr. Hardik Sanghvi (41 hours later)
I already toke immunogloblin it only works for a few weeks and I also toke promacta for 3 years it work but now it doesn't. What do you recommend me to do
doctor
Answered by Dr. Hardik Sanghvi (6 hours later)
Brief Answer:
Steroids is the drug of choice for you.

Detailed Answer:
Hi, dear
I have gone through your question. I can understand your concern.
Drug of choice for your itp is steroids.

Uou can increase the dosage of steroids accordingly. Splenectomy is also helpful.

Steroids are prescription based medicine so you should consult your treating doctor and take it in appropriate dosage.

Hope I have answered your question, if you have doubt then I will be happy to answer. Thanks for using health care magic. Wish you a very good health.
Above answer was peer-reviewed by : Dr. Chakravarthy Mazumdar
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Answered by
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Dr. Hardik Sanghvi

Hematologist

Practicing since :2008

Answered : 7043 Questions

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What causes immune thrombocytopenic purpura?

Brief Answer: Please ask your question completely. Detailed Answer: Hi, dear I have gone through your question. I can understand your concern. You have ITP. It is immun thrombocytopenic purpura. It this condition your body destruct your own platelets. So it leads to reduction in platelet count. Investigation of choice is bone marrow examination fpr confirmation. Immunosuppressive drugs like steroids are helpful in ITP. Please ask your question completely what you want to know? So that I can help you further. Thanks for using health care magic. Wish you a very good health.