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Dr. David
Dr. David, Doctor (MD)
Category: Oncology
Satisfied Customers: 45922
Experience:  Experienced Oncology Physician trained in New York City. I'm ready to help.
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Mom has itp. Not responding to platelets. Ivig and steroids

Customer Question

Mom has itp. Not responding to platelets. Ivig and steroids x3 days and still platelets at 4 . How long before this should respond to meds
Submitted: 1 year ago.
Category: Oncology
Expert:  Dr. David replied 1 year ago.

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.

Customer: replied 1 year ago.

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.

Expert:  Dr. David replied 1 year ago.

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.