Long-term management of chronic immune thrombocytopenic purpura in adults

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Abstract

Chronic immune thrombocytopenic purpura (ITP) is generally a more benign disease than previously thought. Currently it is recommended that only those patients with severe and/or symptomatic thrombocytopenia definitely require treatment. Additional factors, such as age, lifestyle, and uremia can also influence the hemorrhagic risk and should be carefully assessed before decision-making on the appropriate managemnt of patients with less severe forms of ITP. The recent introduction of new classes of therapeutic agents such as rituximab and the thrombopoietic growth factors has had a major impact on the management of ITP. Updated treatment guidelines have recently been made available but they are based largely on expert opinion rather than on high-quality clinical trial evidence. This structured review is focused on the management of adults with chronic ITP, including the use of new © 2010 Palau et al, publisher and licensee Dove Medical Press Ltd. This is an Open Access article which permits unrestricted noncommercial use, provided the original work is properly cited. classes of agents.

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Standardization of terminology, definitions and outcome criteria in immune thrombocytopenic purpura of adults and children: Report from an international working group

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International consensus report on the investigation and management of primary immune thrombocytopenia

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Idiopathic thrombocytopenic purpura: A practice guideline developed by explicit methods for the American Society of Hematology

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CITATION STYLE

APA

Palau, J., Jarque, I., & Sanz, M. A. (2011). Long-term management of chronic immune thrombocytopenic purpura in adults. American Journal of Clinical Hypnosis, 53(4), 305–311. https://doi.org/10.2147/IJGM.S4722

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