Many options.... Traditionally, acute itp was treated with ivig, which leverages anti-idiotype effect and fc receptor engagement to block PLT degradation. Winrho has been used. It recognizes a protein on the surface of red cells and essentially ties up the reticuloendothelial system. But it causes a mild anemia, so has fallen out of favor. Steroids, rituximab, splenectomy, and thrombopoietin agonists r options.
Treat the cause. With itp (idiopathic thrombocytopenic purpura) the body's own antibodies attack its platelets, causing bleeding. There is no apparent cause (that's what "idiopathic" means), but sometimes a cause can be found and treated. Otherwise supportive care at the er or in the hospital is often needed since the patient has no way to stop bleeding once it starts.
If controlled. Ask your doctor for individual recommendations Theoretically if platelet count is good (bleeding risk is controlled) then the steroid would not be contraindicated but if you are already receiving steroids ITP treatment then I'm not sure how much more an injection has to offer.
ITP. How realistic is bleeding/problems w. 83PLT w/o treatment? Only easy bruising & mild gum/nosebleeds now. 95PLT 4wk ago 108PLT 8wk ago. Active 30f
Talk to hematologist. Looks like your platelet count is dropping progressively and thus the chance to get a severe hemorrhage is high at this rate. I presume that you have been worked up thoroughly to rule out potential causes. Since you are not without problem, you need to work closely with your hematologist re. Monitoring and treatment before something serious happens.
Yes there is therapy. There are many treatments for idiopathic thrombocytopenic purpura (itp). This includes steroids, immunoglobulins and also some specific medications. There can be a chronic form of itp that requires long-term therapy.