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What is your approach to an infant (<12 mo) with new onset petechiae and thrombocytopenia, with labs consistent with ITP?

Initial labs obtained? Factors to consider when deciding admission vs outpatient management? Threshold for treatment? Treatment with steroids vs IVIG vs other? How might considerations for an infant differ from a toddler age child?
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Pediatric Hematology/Oncology · Weill Medical College of Cornell University
Answered on

In an older (1-6 year old) child with apparent ITP, less work up might be needed. While many tests are possible, in this case, labs consistent with ITP, I would interpret as including a CBC otherwise normal for age without blasts on a smear (if this is not true, the differential is much wider). If i...

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