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Pediatric ITP – Bone Marrow Aspiration
- ITP is an acquired disorder characterized by:
- thrombocytopenia (platelet < 150)
- a purpuric rash
- normal bone marrow
- the absence of signs of other identifiable causes of thrombocytopenia.
- Therapeutic options include Steroids, IVIG, and Ant-Rh(d)
- For patients with new Diagnosis, consultation with a hematologist is warranted:
- Despite the growing number of studies that state there is a low probability of newly diagnosed leukemia presenting as isolated thrombocytopenia, the risk exists.
- Bone Marrow Bx is the Gold Standard prior to starting steroids currently.
- Steroids may partially treat a leukemia.
- Can avoid Bone Marrow Bx if you use IVIG (which needs to be given in consultation with Hematology)