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What is your approach to an infant (<12 mo) with new onset petechiae and thrombocytopenia, with labs consistent with ITP?
- Initial labs obtained?
- Factors to consider when deciding admission vs outpatient management?
- Threshold for treatment?
- Treatment with steroids vs IVIG vs other?
- How might considerations for an infant differ from a toddler age child?
Answer from: at Academic Institution
In an older (1-6 year old) child with apparent ITP, less work up might be needed. While many tests are possible, in this case, labs consistent with ITP, I would interpret as including a CBC otherwise normal for age without blasts on a smear (if this is not true, the differential is much wider). If i...
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