ITP

 Q: Persistent and chronic immune thrombocytopenia is the same thing? (select one)

A) Yes

B) No

Answer: B

It is important to distinguish ITP on the basis of the time period elapsed since diagnosis. This may contribute to the different management of the disease On the basis of time period ITP is divided into three major categories 

•  Newly diagnosed – Up to 3 months since diagnosis
•  Persistent – 3-12 months since diagnosis 
•  Chronic – More than 12 months since diagnosis

Another laboratory clue is to watch changes in other lineages of blood cells, such as WBC and RBC. Any such association excludes the diagnosis of ITP, and a patient may have a new/different pathology.

#hematology

Reference:

Onisâi M, Vlădăreanu AM, Spînu A, Găman M, Bumbea H. Idiopathic thrombocytopenic purpura (ITP) - new era for an old disease. Rom J Intern Med. 2019 Dec 1;57(4):273-283. doi: 10.2478/rjim-2019-0014. PMID: 31199777.