ITP: Description, Course, Treatment

Brief overview

  • What is ITP? Acquired blood disease in which a deficiency of platelets occurs due to a malfunction of the immune system.
  • Course and prognosis: Individual course, prediction not possible, spontaneous cure possible (especially in children). ITP patients who are treated have a normal life expectancy.
  • Treatment: Wait and see and regular medical check-ups (watch and wait), corticosteroids, immunotherapy, thrombopoietin receptor agonists, splenic tyrosine kinase inhibitors, removal of spleen.
  • Symptoms: increased bleeding tendency (bruising, bleeding from minor injuries), pinhead-sized bleeding of skin and mucous membranes is typical, fatigue, some patients show no symptoms
  • Causes: Autoimmune disease (immune system forms antibodies against platelets), trigger usually unknown
  • Risk factors: In 20 percent of cases, ITP is a consequence of another disease such as arthritis, lymphoma, cancer, HIV or herpes infection.
  • Diagnosis: Typical symptoms, blood test, blood smear, coagulation test, ultrasound, bone marrow aspiration.
  • Prevention: No specific preventive measures possible

What is idiopathic thrombocytopenic purpura?