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?

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.