Source:http://linkedlifedata.com/resource/pubmed/id/16933259
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Predicate | Object |
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rdf:type | |
lifeskim:mentions | |
pubmed:issue |
5 Suppl
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pubmed:dateCreated |
2006-8-31
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pubmed:abstractText |
Idiopathic thrombocytopenic purpura in children remits spontaneously in the majority of cases but most children require treatment. Between 1995 and 2005, 265 children (0-15 years old) have been consecutively observed and treated: 28 children with high doses of methylprednisolone (HDMP) (15 mg/kgx4 days), 63 with HDMP (7.5 mg/kgx4 days), 37 with HD dexamethasone (DXM) pulses, 29 with low doses of MP, and 51 with different doses of intravenous immunoglobulins (IVIG) (0.4 or 0.8 g/kg). Fifty-seven children have not been treated because of a platelet count>or=10x10(9)/L and no significant bleeding. Two hundred forty-four (92.1%) children reached a persistent CR, 237 (89.4%) after a first-line treatment or the wait and see strategy. No statistically significant differences in CR related to different treatments have been observed. IVIG and HDMP (7.5 mg/kg for 4 days) are the best treatments to reach quickly safe platelet levels>or=30x10(9)/L (3-6 days) and CR (7-11 days). Among non-responding (NR) patients, seven have been splenectomized and three reached stable CR. These results emphasize differences with adult ITP.
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pubmed:language |
eng
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pubmed:journal | |
pubmed:citationSubset |
IM
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pubmed:status |
MEDLINE
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pubmed:month |
Oct
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pubmed:issn |
1545-5009
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pubmed:author | |
pubmed:copyrightInfo |
Copyright (c) 2006 Wiley-Liss, Inc.
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pubmed:issnType |
Print
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pubmed:day |
15
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pubmed:volume |
47
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pubmed:owner |
NLM
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pubmed:authorsComplete |
Y
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pubmed:pagination |
665-7
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pubmed:dateRevised |
2009-1-12
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pubmed:meshHeading |
pubmed-meshheading:16933259-Adolescent,
pubmed-meshheading:16933259-Child,
pubmed-meshheading:16933259-Child, Preschool,
pubmed-meshheading:16933259-Humans,
pubmed-meshheading:16933259-Infant,
pubmed-meshheading:16933259-Infant, Newborn,
pubmed-meshheading:16933259-Platelet Count,
pubmed-meshheading:16933259-Purpura, Thrombocytopenic, Idiopathic,
pubmed-meshheading:16933259-Retrospective Studies,
pubmed-meshheading:16933259-Risk Factors,
pubmed-meshheading:16933259-Rome,
pubmed-meshheading:16933259-Treatment Outcome
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pubmed:year |
2006
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pubmed:articleTitle |
Idiopathic thrombocytopenic purpura (ITP) in children.
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pubmed:affiliation |
Hematology Division, Children's Hospital Bambino Gesù, Rome, Vatican City, Italy.
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pubmed:publicationType |
Journal Article,
Review,
Research Support, Non-U.S. Gov't
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