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Immune Thrombocytopenia: Incidence, Diagnosis, Presentation, and Surgical Management

  • Kenneth John Bogenberger
  • Chan W. Park
Chapter

Abstract

Immune thrombocytopenia (ITP), previously referred to in literature and practice as idiopathic thrombocytopenia purpura, is an acquired disorder of immune-mediated destruction of platelets. In the acute setting, the principal goals of treatment are to prevent or stop life-threatening hemorrhage, evaluate for secondary causes, and promptly initiate treatment while monitoring for adverse events. The treatment of chronic ITP has evolved over the last 20 years, and with new therapeutic targets, improving rates of remission with medical therapy alone is possible. Patients with chronic ITP require a multidisciplinary team whose job is to navigate important decisions with regard to treatment and management of the patient’s comorbidities and mitigate the risk of deleterious effects caused by many of these therapies. Surgery remains an important treatment modality in refractory cases.

Keywords

Immune thrombocytopenia ITP Hematologic disorders Thrombocytopenia Splenectomy 

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Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Kenneth John Bogenberger
    • 1
  • Chan W. Park
    • 2
  1. 1.Department of General SurgeryTripler Army Medical CenterHonoluluUSA
  2. 2.Department of Surgery, Section of Bariatrics and Minimally Invasive SurgeryTripler Army Medical CenterHonoluluUSA

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