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Idiopathic thrombocytopenic purpura
1. IDIOPATHIC THROMBOCYTOPENIC PURPURA
DEFINITION:
Is the condition of having an abnormally low platelet count
(thrombocytopenia) of no known cause. Idiopathic
thrombocytopenic purpura is a bleeding disorder in which the
immune system destroys platelets, which are necessary for
normal blood clotting.
CAUSE
Idiopathic
SIGNS & SYMPTOMS
• Acute ITP starts suddenly and usually follows a viral
illness in a child. Acute ITP may require no treatment,
especially if the platelet count does not fall too low and
there is little bleeding. It usually improves spontaneously
and, in children at least, rarely comes back.
• Chronic ITP develops over time, is long lasting and more
common in adults. It may not need treatment if the
platelet level doesn't pose a significant risk of bleeding.
Any such assessment should take account of your
lifestyle, such as participation in contact sports or manual
work.
2. • Pinpoint red spots on the skin that often are found in
groups and may look like a rash. The spots, called
petechiae, are due to bleeding under the skin.
• Bruising or purplish areas on the skin or mucous
membranes (such as in the mouth) due to bleeding under
the skin. The bruises may occur for no known reason.
This type of bruising is called purpura. More extensive
bleeding can cause hematomas. A hematoma is a
collection of clotted or partially clotted blood under the
skin. It looks or feels like a lump.
• Nosebleeds or bleeding from the gums (for example,
when dental work is done).
• Blood in the urine or stool (bowel
movement).Spontaneous formation of bruises (purpura)
and petechiae (tiny bruises), especially on the
extremities, bleeding from the nostrils, bleeding at the
gums, and menorrhagia (excessive menstrual bleeding),
any of which may occur if the platelet count is below
20,000 per μl. A very low count (<10,000 per μl) may
result in the spontaneous formation of hematomas (blood
masses) in the mouth or on other mucous membranes.
Bleeding time from minor lacerations or abrasions is
usually prolonged.
COMPLICATIONS
• Subarachnoid or intracerebral hemorrhage (bleeding
inside the skull or brain)
• Lower gastrointestinal bleeding or other internal
bleeding.
3. INVESTIGATIONS
• A complete blood count (CBC)
• Blood clotting tests (PTT and PT)
• Bleeding time is prolonged.
• Platelet associated antibodies
• Later bone marrow aspiration or biopsy is done
TREATMENT
In some cases spleenectomy is required
Document Source: http://www.mindheal.org
Mindheal Homeopathy is a leading homeopathic
treatment center in Mumbai, India.