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| Content Provider | World Health Organization (WHO)-Global Index Medicus |
|---|---|
| Author | Sivera, Piera Ruella, Marco Gueli, Angela Hu, Huijing Wade, Muhamed Tarella, Corrado |
| Description | Country affiliation: Italy Author Affiliation: Sivera P ( S.C.D.U. Ematologia e Terapie Cellulari, A.O. Ord. Mauriziano-Umberto I, Torino, Italy.) |
| Abstract | This case report describes a patient with relapsed primary immune thrombocytopenic purpura (ITP), in which splenectomy was not possible due to the persistence of a low platelet count despite treatment with corticosteroids, intravenous immunoglobulins (IVIG) and platelet transfusion treatment. As an attempt to increase platelet count prior to performing splenectomy, the thrombopoietin receptor agonist, romiplostim, was administered in combination with steroids and IVIG. A single administration of romiplostim was found to be markedly effective, allowing a rapid and notable platelet increase, required for a well tolerated splenectomy. This case confirms the potent activity of romiplostim in ITP, and indicates that patients with recurrent primary ITP who are unresponsive to conventional immunosuppressive therapy may benefit from the addition of a short course of romiplostim. |
| File Format | HTM / HTML |
| ISSN | 09575235 |
| Issue Number | 4 |
| Volume Number | 23 |
| e-ISSN | 14735733 |
| Journal | Blood Coagulation & Fibrinolysis |
| Language | English |
| Publisher | Lippincott Williams & Wilkins |
| Publisher Date | 2012-06-01 |
| Publisher Place | Great Britain (UK) |
| Access Restriction | One Nation One Subscription (ONOS) |
| Subject Keyword | Discipline Hematology Blood Platelets Drug Effects Immunoglobulins Therapeutic Use Purpura, Thrombocytopenic, Idiopathic Drug Therapy Receptors, Fc Receptors, Thrombopoietin Agonists Recombinant Fusion Proteins Steroids Thrombopoietin Adult Female Humans Platelet Count Blood Surgery Splenectomy Methods Case Reports Journal Article |
| Content Type | Text |
| Resource Type | Case study Article |
| Subject | Hematology |
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