peds39 Flashcards
1
Q
most common acquired platelet abnormality in childhood
A
ITP
2
Q
treatment for ITP
A
mostly supportive; IVIG or steroids if very severe; Anti-D Ig is second line; platelet transfusions avoided
3
Q
how does anti-D immunoglobulin work in treatment of ITP?
A
binds erythrocyte Rh D on RBCs (patients must be Rh pos) and these are cleared by spleen preferentially allowing platelets to escape destriction
4
Q
prognosis for ITP
A
most cases resolve spontaneoulsy in a few months
