Question 128 · LEK · Immune thrombocytopenia (ITP)
Indicate the true statement concerning newly diagnosed immune thrombocytopenia:
- A. is an indication for an immediate start of immunosuppressive treatment.
- B. treatment of choice is splenectomy.
- C. it can be diagnosed only if the platelet count in the peripheral blood is < 100 x 103/µL and disorders are excluded that might suggest other reason for thrombocytopenia (e.g. lymphadenopathy, hepatomegaly, anemia, abnormal WBC).
- D. when the platelet count is < 50 x 103/µL there are indications for platelet concentrate transfusion.
- E. in order to confirm the immune background it is necessary to perform tests for the presence of anti-platelet antibodies in the blood.
Hint
Recall the platelet threshold used in the international definition of ITP and the fact that it is a diagnosis of exclusion.
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