Oncology Questions? Ask an Oncologist for Answers ASAP
This is Dr. David
ITP is very serious
she should be in the hospital or ICU for this low platelet level
if her spleen is enlarged it could be sequestering her platelets
some patients benefit from spleen radiation therapy to stop the spleen from sequestering and lowering platelet levels.
response to therapy for ITP can be very difficult to impossible to predict.
She's in icu. Spleen good. CT negative. Liver fine. Must be autoimmune . Not responding to ivig n solumedrol. Can it take up to 10 days to respond ?; I read that online. I'm wondering if I should transfer her to bigger hospital in the city.
yes, it can take up to 10 days to respond.
give her 10 days to see if the IVIG and steroid therapy help.
a larger hospital would most likely do the same thing at this point.