- affects mainly children
- boys and girls equally affected
- often after infection/vaccination
- tends to be self-limiting over 2 weeks
- females >males
In ITP the bone marrow shows megakaryocytes
Treatment is only needed if the patient is symptomatic or the platelets are <20.
First line = oral prednisolone - 80% respond
If no response in 3 months --> splenectomy
Other options include IV IG or immunosupressive drugs.
One random MRCP type syndrome: Evan's syndrome = ITP +AIHA.
Nearly there, just a quick tricyclic overdose to go...