Are there any reasons to consider a prolonged course of steroids with taper over a shorter course of pulsed steroids in the treatment of ITP?

Topics: Pediatric Oncology • Medical Oncology • Thrombocytopenia • Hematology • Pediatric Hematology • Benign Hematology • ITP

For example, do we prefer one regimen over the other in patients with a bleeding history or who have relapsed after a lengthy remission?

Answer from: at Community Practice

As a general rule in pediatric ITP, I would say the answer is "no" but there are some exceptions. I'll defer to adult hematology colleagues to address this question for older patients, but some basic principles apply. 1. Steroid doses after an initial pulse, should be as low as possible becau...

Comments

at The Cleveland Clinic
I agree with the recommendations above. They are r...

at Kaiser Permanente, Los Angeles Med Center
Thank you so much, Dr. @Ellis J. Neufeld and Dr. @...

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