Table 1.
A child with a new diagnosis of ITP and minor bleeding symptoms
Management choice | Responses |
---|---|
Anti-D (Win-Rho) | 2 |
Corticosteroids | 3 |
IVIg | 2 |
Observation with no drug treatment (“watchful waiting”)*† | 5 |
Thrombopoietin Receptor Agonists (Nplate [romiplostim], Promacta [eltrombopag]) (if approved and available for use in children) | 0 |
Other (describe): __________________ | 0 |
Survey question 1: A 3 year-old boy presents with a 24 hour history of bruising and petechiae. He has a few areas of scattered petechiae and several small bruises on his arms and legs. His platelet count is 8,000/μl. His complete blood count and smear review are otherwise normal, and his blood group is A+. What is your management choice?
Management recommended by the ICR: Grade B8
Management recommended by the ASH guideline: Grade 1B9