Anti-D or Methylprednisolone? Pros and Cons in the Treatment of Acute Immune Thrombocytopenic Purpura in Children


Abstract in English

the research performed by the ITP study group in 2006[15] studying the efficacy of single dose IV-Rhesus antibodies (Anti-D) "50 ug/kg or 75 ug/kg" compared to the single dose IVIG "800 mg/kg"; that study revealed that both have a similar therapeutic effect. that study suggest to compare the single high dose of Anti-D withthree consecutive doses of Methyl-prednisolone in respect of: 1- Time of platelet recovery 2- The continuity of mediation effect throughout ( 6 months) 3- Side effects, hospitalization and cost.

References used

Kurtzberg J, Stockman JA 3rd. ITP. AdvPediatr 1994; 41:111
Carcao MD, et al. Fcgamma receptor IIa andIIIa polymorphisms inITP. Br J Haematol 2003; 120:135
Kühne T, et al. A prospective comparative study of 2540 infants and children with newly diagnosed ITP from the Intercontinental Childhood ITP Study Group. J Pediatr 2003; 143:605

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