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  #1  
Old 08-14-2011
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Default petechial rash

A 3-year-old child presents with a petechial rash but is otherwise well and without physical findings. Platelet count is 20,000/ÁL; hemoglobin and WBC count are normal. Which of the following is the most appropriate therapy for this patient's likely diagnosis?
  1. Intravenous immunoglobulins
  2. High-dose aspirin
  3. Bone marrow transplant
  4. Therapeutic doses of iron
  5. L-asparaginase
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Old 08-14-2011
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its WAS . ans s A. iv Ig
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Old 08-15-2011
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Originally Posted by surez18 View Post
its WAS . ans s A. iv Ig
What about eczema & infection on WAS?
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Old 08-15-2011
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Idipathic trombocytopenia, a) treat w. IG (among given).
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Old 08-15-2011
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I'm also leaning towards ITP rather than WAS, but treatment would be corticosteroids I think
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Old 08-15-2011
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Intravenous immunoglobulins as it is ITP
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Old 08-16-2011
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Quote:
Originally Posted by usmleman2020 View Post
A 3-year-old child presents with a petechial rash but is otherwise well and without physical findings. Platelet count is 20,000/ÁL; hemoglobin and WBC count are normal. Which of the following is the most appropriate therapy for this patient's likely diagnosis?
  1. Intravenous immunoglobulins
  2. High-dose aspirin
  3. Bone marrow transplant
  4. Therapeutic doses of iron
  5. L-asparaginase
ITP .. Aaaaaaaaaaaaa
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Old 08-16-2011
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it seems like ITP...but its treament is steroids or plasmapheresis, m not sure about IV Ig.. also not sure if high dose of aspirin can be used in place of steroids
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Old 08-16-2011
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its either itp pr was but i ll go with was
the answer is a
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Old 08-17-2011
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Default answer is Ig

the diagnosis is ITP, WAS should have TIE: thrombocytopenic purpura, Infections and Eczema.

the hallmark of ITP is ISOLATED THROMBOCYTOPENIA, this child is otherwise okay.

the ist line of trt if corticosteriods, the 2nd line is IG
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Old 03-09-2014
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Star A

The patient in the question likely has ITP. Patients look well except for the petechial rash. Of the choices, intravenous immunoglobulins are a recognized therapy option, although at the platelet count described in the question, expectant observation might also be considered. Steroids also are used when necessary.

Therapeutic doses of iron might be used to treat a patient with anemia, but the patient in the question has a normal hematocrit. L-asparginase might be used in the treatment of leukemia; the patient is unlikely to have leukemia. Patients with acute lymphoblastic leukemia frequently have symptoms of pallor and fever in addition to bleeding, and nearly 50% of them have hepatomegaly and splenomegaly. CBC reveals anemia, leukocytosis or leukopenia, and thrombocytopenia. High-dose aspirin might be used to treat a patient with thrombocytosis, such as that seen with Kawasaki syndrome. Bone marrow transplant might be used for a patient with a malignancy, such as leukemia, that has otherwise failed to respond to more conventional therapies.
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