How to treat thrombocytopenic purpura
Disease description:
The child has developed numerous tiny red spots on his legs, which have not subsided over time. After taking him to the hospital, we learned that he was diagnosed with thrombocytopenic purpura. What the doctor explained sounded quite concerning. Could you please tell me what are the treatment methods for thrombocytopenic purpura?
Doctor's answer (1)
Dr. Liu Feng
The treatment methods for thrombocytopenic purpura mainly include the following aspects:
1. **Medication therapy**:
- Glucocorticoids: Used to reduce capillary permeability, inhibit the production of platelet antibodies, and decrease platelet destruction.
- Gamma globulin: Blocks macrophage receptors and inhibits the binding and phagocytosis of platelets.
- Rituximab: Targets chronic or refractory thrombocytopenic purpura.
- Immunosuppressants, such as cyclosporine and vincristine: Used in the treatment of chronic thrombocytopenic purpura.
2. **Platelet transfusion**: Platelets may be transfused in cases of intracranial hemorrhage or acute visceral hemorrhage that threatens life.
3. **Surgical treatment**: For example, laparoscopic splenectomy, which is suitable for chronic patients with severe bleeding tendencies who do not respond well to medical treatment.
4. **Other treatments**: Such as plasma exchange, which removes adsorbed antibody platelets and reduces progressive platelet destruction.
The specific treatment plan should be formulated according to the patient's individual condition and the recommendations of the physician.
