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A 25-year-old male asked:

itp i hear about rituxan (rituximab) but in netherlands they give meds only after removing the spleen because the insurance think that is cheaper is this the best?

1 doctor answer1 doctor weighed in
Dr. Louis Cooper
Pediatrics 48 years experience
How long and how low: How long has itp been present and how low the counts. Any associated illness--recent vaccinations? Splenectomy should be last resort. Treatment if any for itp depends on many factors--as written above and if there is bleeding. The younger the child, the lower the platelet count--may encourage treatment--if exam is normal and no associated issues--including examination of the blood smear is norm.

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Last updated Apr 25, 2013

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