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J Pediatr. 2015 Feb;166(2):480-2. doi: 10.1016/j.jpeds.2014.10.001. Epub 2014 Nov 18.

Newly diagnosed immune thrombocytopenic purpura in childhood: successful implementation of a limited intervention strategy in the setting of pediatric emergency care.

Author information

1
Hospices Civils de Lyon, Lyon, France.
2
Hospices Civils de Lyon, Lyon, France; Department of Pediatric Emergency and Critical Care, Hôpital-Femme-Mère-Enfant.
3
Hospices Civils de Lyon, Lyon, France; Institut d'hématologie et d'oncologie pédiatrique (Department of Pediatric Hematology and Oncology); Lyon I University, Lyon, France.
4
Hospices Civils de Lyon, Lyon, France; Institut d'hématologie et d'oncologie pédiatrique (Department of Pediatric Hematology and Oncology).
5
Hospices Civils de Lyon, Lyon, France; Institut d'hématologie et d'oncologie pédiatrique (Department of Pediatric Hematology and Oncology); Lyon I University, Lyon, France; Referral Center for Thalassemia, Paris, France. Electronic address: corinne.pondarre@chicreteil.fr.

Abstract

Immune thrombocytopenic purpura is a bleeding disorder for which management remains mainly guided by platelet counts. Pediatric hematologists and emergency physicians collaborated to set up a limited intervention strategy, focusing on clinical bleeding severity irrespective of platelet counts, starting in the emergency room. We report how this strategy was safely applied for 106 consecutive children admitted for newly diagnosed immune thrombocytopenic purpura.

PMID:
25454932
DOI:
10.1016/j.jpeds.2014.10.001
[Indexed for MEDLINE]

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