Arthur Billings blood disorder treatment today? How is ITP diagnosed? ITP is usually diagnosed by a blood test showing that only the platelet count is low, and the platelets, red blood cells and white blood cells all look normal. A bone marrow biopsy may be taken at a later stage if the ITP continues, in which a small sample of bone marrow will be taken under local anaesthetic and examined under the microscope. Additional blood tests may be taken at this time to exclude rare clotting or immune diseases that can mimic ITP. If the bone marrow looks normal, with the usual or higher number of platelet parent cells (megakaryocytes) and other blood tests are normal then the doctor will diagnose chronic ITP.
Arthur Nathaniel Billings on blood disorder treatments : What are platelets? There are three types of blood cell which are all formed in the bone marrow; red cells, white cells and platelets. Platelets, which are small and sticky and circulate in the bloodstream provide the inital plug to stop bruising and bleeding after an injury, and stop blood leaking from capilleries. A blood sample is taken to measure the circulating platelets, and in most people there are between 150,000 and 400,000 platelets in every cubic millimetre of blood. However in the USA we simplify this by describing a platelet count of, say, 150 rather than 150,000. Anyone with a count less than 100 would be considered thrombocytopenic (ie. short of platelets).
You should avoid drugs like aspirin and non-steroidal anti-inflammatory drugs (e.g. ibuprofen, diclofenac) when your platelets are below 50 × 10^9/l because of a greater risk that gastric irritation could lead to bleeding. Also discuss any planned surgery or dental procedure with your haematologist (as well as informing the dentist or surgeon) so that a plan can be made. When to seek help If you have minor bleeding symptoms such as nose bleeds or bleeding in the mouth please ask your GP to carry out an urgent full blood count, or contact the haematology department. A purple rash called purpura (often on the lower legs) which does not fade when you press it may be a sign of a low platelet count.
How is idiopathic thrombocytopenic purpura treated? Specific treatment for idiopathic thrombocytopenic purpura will be determined by your health care provider based on: Your age, overall health, and medical history; Extent of the disease; Your tolerance for specific medications, procedures, or therapies; Expectations for the course of the disease; Your opinion or preference. When treatment is necessary, the two most common forms of immediate treatment are steroids and intravenous gamma globulin. Read additional details on Arthur Nathaniel Billings.
Chronic thrombocytopenic purpura. The onset of the disorder can happen at any age, and the symptoms can last a minimum of 6 months, several years, or a lifetime. Adults have this form more often than children do, but it does affect adolescents. Females have it more often than males. Chronic ITP can recur often and requires continual follow-up care with a blood specialist (hematologist). What causes idiopathic thrombocytopenic purpura? In ITP, the immune system is stimulated to attack your body’s own platelets. Most often this is a result of antibody production against platelets. In a small number of cases, a type of white blood cell called T-cells will directly attack platelets. This immune system error may be a result of any of the following.