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How do you choose between therapies for newly diagnosed ITP that is refractory to steroids and IVIG?  

Received dexamethasone 40 mg daily x4 and IVIG without response. No DIC. PB flow cytometry and bone marrow biopsy without pathology. Are there specific circumstances where you favor TPO mimetics, rituximab, or splenectomy?



Answer from: at Academic Institution
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