Speculative: I understand you have idiopathic thrombocytopenic purpura and a pilonidal sinus. I trust you're getting the latter managed properly, these can be very unpleasant. I'd be more inclined to relate your ITP to general immune activation as in HIV, HBV and HCV. With your interest, you'll enjoy http://asheducationbook.hematologylibrary.org/content/2012/1/306.full
Answered 10/24/2017
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