Thrombocytopenia   

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

I.e. platelet count <30. Would your management change if HIT were only suspected rather than confirmed?  

Provided that the platelet count is normal, do you usually consider this to be a potential erroneous result or do you pursue additional workup for RBC...

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

ADAMTS13 level <5% Inhibitor level <1

Wu et al., PMID 34665865 

Presuming strong indication for ASA - eg history of NSTEMI

e.g. DITP from eptifibatide after a cardiac intervention

IVIG, TPO, or other agents?

How often do you monitor ADAMTS-13 levels off therapy?

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