Open AccessSplenectomy in Idiopathic Thrombocytopenic Purpura : A Clinical Experience
Author(s) -
Ilham Ari Elbaith Zaeni,
Sukardi Sukardi,
P Bambang,
Netty Rh,
S Untario
Publication year - 2019
Publication title -
paediatrica indonesiana
Language(s) - English
Resource type - Journals
eISSN - 2338-476X
pISSN - 0030-9311
DOI - 10.14238/pi28.11-12.1988.259-66
Subject(s) - medicine , splenectomy , prednisone , thrombocytopenic purpura , surgery , purpura (gastropod) , pediatrics , spleen , platelet , ecology , biology
Since 1979 until 1987 there were 4 idiophatic 1hrombocytopenic purpura (ITP) cases who had undergone splenectomy, consisting of 2 males and 2 females. All patients had been treated with prednisone prior to splenectomy, 2 patients received additional cytostatics. The course of the disease prior to splenectomy had been followed in a period of time, varying from 2,5 to 8 years. The effect of treatment was not very statisfying, as both clinical and laboratory reccurrence often happened.
Post spelectomy, the administration of prednisone in 1 case was stopped immediately, in 2 cases it was stopped after 8 months and in 1 case it was continued. After more than 5 years follow up, 3 cases showed excellent clinical and laboratory findings, while I case failed.