Reviews in Clinical Medicine (Apr 2014)

Comparison of dexamethasone and Anti-D Immune globulin for immune thrombocytopenia purpura in children

  • Abdollah Banihashem,
  • Hamid Farhangi,
  • Mojtaba Mousavi Bazaz,
  • Zahra Badiee,
  • Ali Ghasemi,
  • Sara Hesari

DOI
https://doi.org/10.17463/RCM.2014.02.005
Journal volume & issue
Vol. 1, no. 2
pp. 61 – 65

Abstract

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Different therapeutic options in children with immune thrombocytopenic purpura include observation alone, periodic treatment with corticosteroids, intravenous immunoglobulin (IVIG) or anti-D, chronic administration of immunosuppressive agents, and splenectomy.Preference of the type of therapy depends on the degree of thrombocytopenia and clinical bleeding manifestations. Dexamethasone is safe but its side effects are the main disadvantages for its usage. Anti-D is more expensive than dexamethason but the side effect is rare and not dangerous and response to treatment is assessed in approximately 3 days after infusion.

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