Childhood immune thrombocytopenia: role of rituximab, recombinant thrombopoietin, and other new therapeutics.

Janna M. Journeycake

Research output: Contribution to journalReview article

14 Scopus citations

Abstract

Childhood immune thrombocytopenia (ITP) is often considered a benign hematologic disorder. However, 30% of affected children will have a prolonged course and 5%-10% will develop chronic severe refractory disease. Until recently, the only proven therapeutic option for chronic severe ITP was splenectomy, but newer alternatives are now being studied. However, because immunosuppressive agents such as rituximab are not approved for use in ITP and the thrombopoietin receptor agonists are not yet approved in children, the decision to use alternatives to splenectomy needs to be considered carefully. This review describes the factors that should affect decisions to treat ITP at diagnosis and compares the options for the occasional child in whom ITP does not resolve within the first year.

Original languageEnglish (US)
Pages (from-to)444-449
Number of pages6
JournalHematology / the Education Program of the American Society of Hematology. American Society of Hematology. Education Program
Volume2012
StatePublished - 2012

ASJC Scopus subject areas

  • Hematology

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