ITP   

Received dexamethasone 40 mg daily x4 and IVIG without response. No DIC. PB flow cytometry and bone marrow biopsy without pathology. Are there specifi...

How would you counsel the patient if he/she wants to continue on steroids?

Such as the case in which a patient is unresponsive to steroids, IVIG, TPO-agonist, rituximab, splenectomy, and even fostamitinib.

Wu et al., PMID 34665865 

Presuming strong indication for ASA - eg history of NSTEMI

IVIG, TPO, or other agents?

For example, do we prefer one regimen over the other in patients with a bleeding history or who have relapsed after a lengthy remission?