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Immune Thrombocytopenia (ITP)

tara Baney, MS, CRNP Reviewed 05/2023
 


BASICS

DESCRIPTION

  • Immune thrombocytopenia (ITP) is a condition characterized by the immunologic destruction of normal platelets and/or impaired thrombopoiesis in response to an unknown stimulus.

  • ITP is...

DIAGNOSIS

A careful history, physical exam, and review of CBC and peripheral blood smear remain the key components of the diagnosis of ITP. 

HISTORY

  • Often asymptomatic; found incidentally on routine CBC

  • ...

TREATMENT

GENERAL MEASURES

  • Management is based on both platelet count and hemorrhagic manifestations.

  • Current evidence-based guidelines recommend treatment should be administered for newly diagnosed pat...

ONGOING CARE

FOLLOW-UP RECOMMENDATIONS

Patient Monitoring

Platelet counts weekly for patients on steroids and monthly for stable patients are reasonable. If short-course of dexamethasone is selected, pl...

REFERENCES

1
Neunert C, Terrell DR, Arnold DM, et al; American Society of Hematology. American Society of Hematology 2019 guidelines for immune thrombocytopenia. Blood Adv. 2019;3(23):3829–3866.

CODES

ICD10

D69.3 Immune thrombocytopenic purpura 

SNOMED

  • 234490009 Immune thrombocytopenic purpura (disorder)

  • 32273002 Idiopathic thrombocytopenic purpura (disorder)

  • 13172003 chronic idiopathic thrombocyt...

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