Statements in which the resource exists as a subject.
PredicateObject
rdf:type
lifeskim:mentions
pubmed:issue
2
pubmed:dateCreated
2010-3-10
pubmed:abstractText
The objectives of this study are to clarify (1) the difference in demographic and clinical variables at initial presentation between acute and chronic idiopathic thrombocytopenic purpura (ITP), and (2) the prognostic factors of patients with chronic ITP. We conducted a retrospective analysis of 247 children with newly diagnosed ITP between April 1991 and March 2006 who visited one of the 12 hospitals belonging to the Kyoto University Pediatric Hematologic Study Group. 180 and 67 cases were classified as the acute type and as the chronic type, respectively. Older age, higher initial platelet count, positive medical history or concomitant medical diagnosis, the absence of preceding infection or vaccination, and the absence of an increase in immunoglobulin were risk factors for the chronicity. The prognostic factors in chronic ITP were evaluated in 53 patients after excluding patients receiving splenectomy or having insufficient follow-up data. The overall time required for 50% resolution in patients with chronic ITP was approximately 5.6 years. Age at presentation of less than 3 years and higher platelet counts at the time of chronic ITP diagnosis were good prognostic factors. On the other hand, gender, initial platelet counts, and preceding infection or vaccination were not associated with the prognosis.
pubmed:language
eng
pubmed:journal
pubmed:citationSubset
IM
pubmed:status
MEDLINE
pubmed:month
Mar
pubmed:issn
1865-3774
pubmed:author
pubmed:issnType
Electronic
pubmed:volume
91
pubmed:owner
NLM
pubmed:authorsComplete
Y
pubmed:pagination
252-7
pubmed:dateRevised
2010-11-18
pubmed:meshHeading
pubmed-meshheading:20049564-Acute Disease, pubmed-meshheading:20049564-Adolescent, pubmed-meshheading:20049564-Asian Continental Ancestry Group, pubmed-meshheading:20049564-Child, pubmed-meshheading:20049564-Child, Preschool, pubmed-meshheading:20049564-Chronic Disease, pubmed-meshheading:20049564-Female, pubmed-meshheading:20049564-Follow-Up Studies, pubmed-meshheading:20049564-Humans, pubmed-meshheading:20049564-Incidence, pubmed-meshheading:20049564-Infant, pubmed-meshheading:20049564-Japan, pubmed-meshheading:20049564-Kaplan-Meier Estimate, pubmed-meshheading:20049564-Male, pubmed-meshheading:20049564-Predictive Value of Tests, pubmed-meshheading:20049564-Prognosis, pubmed-meshheading:20049564-Purpura, Thrombocytopenic, Idiopathic, pubmed-meshheading:20049564-Retrospective Studies, pubmed-meshheading:20049564-Risk Factors
pubmed:year
2010
pubmed:articleTitle
Characterization of chronic idiopathic thrombocytopenic purpura in Japanese children: a retrospective multi-center study.
pubmed:affiliation
Faculty of Human Life and Environment, Nara Women's University, Kitauoya-nishi Machi, Nara, Japan. mkubota@cc.nara-wu.ac.jp
pubmed:publicationType
Journal Article, Multicenter Study