How do you approach the treatment of ITP in a pregnant patient who did not respond to prednisone?

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

Would you consider high-dose dexamethasone (deliberating adverse effects of antenatal steroids) or move to next-line therapies?

Answer from: at Academic Institution

We usually stay away from dex because of the toxicity and use the absolutely smallest dose of prednisone we can. Usually, unless the count is very low, I start at about 20mg since we’re just trying to get the count up not get a CR. We manage a lot of patients with IVIg alone, but it can get e...

Comments

Medical Oncologist at Locum Tenens
Thanks.

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