{"id":5605,"date":"2021-05-20T23:49:35","date_gmt":"2021-05-20T21:49:35","guid":{"rendered":"https:\/\/meddists.com\/learn\/clinical\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia\/"},"modified":"2021-05-25T22:59:55","modified_gmt":"2021-05-25T20:59:55","slug":"immune-thrombocytopenia-purpura-itp","status":"publish","type":"page","link":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/","title":{"rendered":"Immune thrombocytopenia purpura (ITP)"},"content":{"rendered":"\n<p class=\"wp-block-paragraph\">Immune thrombocytopenia purpura is an acquired condition in which antibodies are produced against platelet membrane glycoprotein (GP) complexes, leading to low platelet count and bleeding. It appears without anemia or leukocytopenia.<\/p>\n\n\n<span class=\"block-heading\" id=\"header_1\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Classification<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_1\">\n\n\n<p class=\"wp-block-paragraph\">Immune thrombocytopenia can be classified based on the <strong>etiology <\/strong>and based on the <strong>timeframe<\/strong>.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li>Etiology<ul><li><strong>Primary: <\/strong>Idiopathic<\/li><li><strong>Secondary:<\/strong> Associated with another condition (viral hepatitis, HIV, SLE)<\/li><li><strong>Drug-induced:<\/strong> Most commonly heparin<\/li><\/ul><\/li><li>Timeframe<ul><li><strong>Newly diagnosed:<\/strong> &lt;3mo since the diagnosis<\/li><li><strong>Persistent: <\/strong> 3-12mo since the diagnosis<\/li><li><strong>Chronic: <\/strong>&gt;12mo since the diagnosis<\/li><\/ul><\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_2\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Clinical manifestation<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_2\">\n\n\n<ul class=\"wp-block-list\"><li>Cutaneous and mucosal petechiae and purpura<\/li><li>Gingival bleeding<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_3\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Diagnosis<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_3\">\n\n\n<ul class=\"wp-block-list\"><li>CBC (thrombocytopenia &lt;150G\/L; other cells are normal)<\/li><li>Coagulation tests (normal)<\/li><li>Blood smear (reduced number of platelets)<\/li><li>Serology (antiplatelet-antibodies; not recommended)<\/li><\/ul>\n\n\n<\/span><span class=\"block-heading\" id=\"header_4\">\n<h4 class=\"wp-block-heading\" class=\"wp-block-heading\" class=\"title_collection title1\">Treatment<\/h4>\n<\/span><span class=\"block-content\" id=\"contents_4\">\n\n\n<p class=\"wp-block-paragraph\">Reduce risk of bleeding.<\/p>\n\n\n\n<ul class=\"wp-block-list\"><li><strong>Supportive: <\/strong>Platelet transfusion, eltrombopag (TPO agonist)<\/li><li><strong>First line:<\/strong> corticosteroids, IVIG<\/li><li><strong>Second line: <\/strong>Splenectomy (laparoscopic), rituximab, azathioprine, cyclophosphamide<\/li><li>Stem cell transplantation<\/li><\/ul>\n<\/span><div id=\"the_titles\" style=\"display:none;\"><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Classification<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Clinical manifestation<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Diagnosis<\/h4><h4 class=\"wp-block-heading\" class=\"wp-block-heading\">Treatment<\/h4><\/div>","protected":false},"excerpt":{"rendered":"<p>Immune thrombocytopenia purpura is an acquired condition in which antibodies are produced against platelet membrane glycoprotein (GP) complexes, leading to low platelet count and bleeding. It appears without anemia or leukocytopenia. Classification Immune thrombocytopenia can be classified based on the etiology and based on the timeframe. Etiology Primary: Idiopathic Secondary: Associated with another condition (viral [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":0,"parent":5575,"menu_order":3,"comment_status":"closed","ping_status":"closed","template":"","meta":{"footnotes":""},"class_list":["post-5605","page","type-page","status-publish","hentry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Immune thrombocytopenia purpura (ITP) &#8211; Meddists<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/\" \/>\n<meta name=\"twitter:label1\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data1\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/hematology\\\/thrombocytopenia-and-platelet-disorders\\\/immune-thrombocytopenia-purpura-itp\\\/\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/hematology\\\/thrombocytopenia-and-platelet-disorders\\\/immune-thrombocytopenia-purpura-itp\\\/\",\"name\":\"Immune thrombocytopenia purpura (ITP) &#8211; Meddists\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/#website\"},\"datePublished\":\"2021-05-20T21:49:35+00:00\",\"dateModified\":\"2021-05-25T20:59:55+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/hematology\\\/thrombocytopenia-and-platelet-disorders\\\/immune-thrombocytopenia-purpura-itp\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/hematology\\\/thrombocytopenia-and-platelet-disorders\\\/immune-thrombocytopenia-purpura-itp\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/hematology\\\/thrombocytopenia-and-platelet-disorders\\\/immune-thrombocytopenia-purpura-itp\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"http:\\\/\\\/meddists.com\\\/learn\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Clinical\",\"item\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/\"},{\"@type\":\"ListItem\",\"position\":3,\"name\":\"Internal medicine\",\"item\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/\"},{\"@type\":\"ListItem\",\"position\":4,\"name\":\"Hematology\",\"item\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/hematology\\\/\"},{\"@type\":\"ListItem\",\"position\":5,\"name\":\"Thrombocytopenia and platelet disorders\",\"item\":\"https:\\\/\\\/meddists.com\\\/learn\\\/clinical\\\/internal-medicine\\\/hematology\\\/thrombocytopenia-and-platelet-disorders\\\/\"},{\"@type\":\"ListItem\",\"position\":6,\"name\":\"Immune thrombocytopenia purpura (ITP)\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/meddists.com\\\/learn\\\/#website\",\"url\":\"https:\\\/\\\/meddists.com\\\/learn\\\/\",\"name\":\"Meddists\",\"description\":\"Let&#039;s Get Studying\",\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/meddists.com\\\/learn\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Immune thrombocytopenia purpura (ITP) &#8211; Meddists","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/","twitter_misc":{"Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"WebPage","@id":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/","url":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/","name":"Immune thrombocytopenia purpura (ITP) &#8211; Meddists","isPartOf":{"@id":"https:\/\/meddists.com\/learn\/#website"},"datePublished":"2021-05-20T21:49:35+00:00","dateModified":"2021-05-25T20:59:55+00:00","breadcrumb":{"@id":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/immune-thrombocytopenia-purpura-itp\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"http:\/\/meddists.com\/learn\/"},{"@type":"ListItem","position":2,"name":"Clinical","item":"https:\/\/meddists.com\/learn\/clinical\/"},{"@type":"ListItem","position":3,"name":"Internal medicine","item":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/"},{"@type":"ListItem","position":4,"name":"Hematology","item":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/"},{"@type":"ListItem","position":5,"name":"Thrombocytopenia and platelet disorders","item":"https:\/\/meddists.com\/learn\/clinical\/internal-medicine\/hematology\/thrombocytopenia-and-platelet-disorders\/"},{"@type":"ListItem","position":6,"name":"Immune thrombocytopenia purpura (ITP)"}]},{"@type":"WebSite","@id":"https:\/\/meddists.com\/learn\/#website","url":"https:\/\/meddists.com\/learn\/","name":"Meddists","description":"Let&#039;s Get Studying","potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/meddists.com\/learn\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"}]}},"_links":{"self":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/5605","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages"}],"about":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/types\/page"}],"author":[{"embeddable":true,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/comments?post=5605"}],"version-history":[{"count":4,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/5605\/revisions"}],"predecessor-version":[{"id":5748,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/5605\/revisions\/5748"}],"up":[{"embeddable":true,"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/pages\/5575"}],"wp:attachment":[{"href":"https:\/\/meddists.com\/learn\/wp-json\/wp\/v2\/media?parent=5605"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}