Please select the option that best describes you:

How do you approach a patient with high titer ANA and a new diagnosis of ITP, but no other signs or symptoms suggestive of active rheumatologic disease?  

Patient with +ANA 1:2560 for >10 years, rest of serologies negative. Complements normal. Negative dsDNA. Antiphospholipid labs negative. New ITP with platelets 60K.