Diagnosis
ITP is diagnosed after excluding other causes of thrombocytopenia. Blood counts, smear review, coagulation testing, medication and infection review are performed. Bone marrow examination is reserved for atypical features.
Related: Haematology → · Dr. Sachita Baniya profile → · All conditions →
Treatment
Asymptomatic patients may be observed. Treatment for significant bleeding or very low counts includes corticosteroids, intravenous immunoglobulin and anti-D in selected patients. Chronic ITP may require thrombopoietin receptor agonists, rituximab or splenectomy.
- Observation for asymptomatic moderate counts
- Steroids or IVIG for treatment-requiring episodes
- Thrombopoietin receptor agonists for chronic ITP
- Rituximab or splenectomy in selected cases
- Urgent care for severe bleeding
Access
Dr. Baniya consults at Kathmandu Neurology Clinic & Cognitive Center, Durbar Marg, and also practises at Kathmandu Cancer Center (KCC) Nepal, Civil Service Hospital, Kathmandu, and Advanced Care Hospital. Urgent review is advised for severe bleeding or very low counts.