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Journal of Tropical Pediatrics 1990 36(1):10-13; doi:10.1093/tropej/36.1.10
© 1990 by Oxford University Press
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Childhood Idiopathic Thrombocytopenic Purpura: Report of 60 Cases from Kuwait

Mohamed Zaki*, Abdul Aziz Hassanein** and Ahmed F. Khalil*

*Department of Paediatrics, Farwania Hospital Kuwait
**Department of Haematology Unit, Farwania Hospital Kuwait

Correspondence: Dr M. Zaki, P.O Box 25850, Code 13119, Safat, Kuwait.

Sixty children with idiopathic thrombocytopenic purpura (ITP) were admitted to a regional hospital in Kuwait over a 6-year period. A high annual incidence of ITP (12.5/105) was noted, probably related to viral infections during the period of the study. Forty-one were patients with acute ITP and 19 with chronic ITP.

The initial treatment varied: corticosteroids were given in 33 cases, no therapy in 23 cases, and intra-venous gamma globulin (IVGG) in four cases. Splenectomy was carried out in two children, of whom one died 2 years later as a result of septicaemia.

This study showed that conservative management can be adopted in mild cases of ITP and active measurements should be reserved for patients presenting with moderate-severe mucocutaneous bleeding and significant thrombocytopenia.


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