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    What causes recurrent idiopathic thrombocytopenic purpura?

Posted on Mon, 10 Jul 2017 in Blood Disorders
Question: Hi question regarding itp I was wondering if there was chance of ipt returning . I have had ipt twice and both times the removal of my spleen was required. There fore two spleens were removed . I have been feeling extremely tired . No signs of petechiei can itp be cured or can it return?

Answered by Dr. Shailja Puri 13 minutes later
Brief Answer:
ITP can recur.Removal of spleen is to prevent decrease in platelet count.

Detailed Answer:
Thanks for posting your query on HealthcareMagic.

ITP is idiopathic thrombocytopenic purpura.
ITP is caused by destruction of platelets.
Removal of spleen is done to prevent destruction of platelets.
Removal of spleen does not treat the underlying cause of ITP.
It only helps to prevent destruction of platelets.
ITP does not have known underlying cause so definitive treatment may not be possible.
However, management is possible.
Recurrence of ITP is possible.
ITP co-exists with ITP so platelets should be checked whenever you suffer from fever.

Thanks and take care
Dr Shailja Puri
Above answer was peer-reviewed by : Dr. Prasad
Follow up: Dr. Shailja Puri 5 hours later
Would the body be fighting off reacurring itp , that why I am so extremely tired? Or could it be another problem?
Answered by Dr. Shailja Puri 9 hours later
Brief Answer:
ITP can be managed depending on cause.Complete tt may not be possible.

Detailed Answer:
Hello and welcome again,
ITP is usually caused by auto-antibodies acting body's own platelets.
It is usually precipitated by viral infections.
Management includes removal of these auto-antibodies by plasmapheresis.
The disease may recur.
It may not be possible to treat the disease fully but it can be managed.

Thanks and take care
Dr Shailja Puri

Above answer was peer-reviewed by : Dr. Nagamani Ng
Answered by
Dr. Shailja Puri

Pathologist and Microbiologist

Practicing since :2006

Answered : 7986 Questions


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