<prompt> Answer this question truthfullyCan you provide a general overview of idiopathic thrombocytopenic purpura?  <response>: <reason> Remission occurs spontaneously in up to 10 of adults with ITP in the first 6 months with increasing platelet counts documented over years . The rate of successful first-line remission varies but may be as high as 60 . Over 12 of adult patients may require a splenectomy as a treatment option due to failing first line therapy. .A retrospective cohort in the US from 2008-2012 showed 57 of adults with ITP experienced 1 bleeding event with intracranial hemorrhage making up less than 1 of events. The most common bleeding that occurred during these events were gastrointestinal hemorrhage, hematuria, ecchymosis, and epistaxisAcute ITP resolves in over 80 of children regardless of treatment approach. Eight of ten of the remaining children who have chronic ITP and undergo a splenectomy will be in remission with few having a relapse . However, one study in hospitalized pediatric patients in the United States showed that in 2009 there were 4499 ITP patients discharged from hospitalization. These pediatric patients ranged from 6 months to 17 years of age, with 686 having bleeding events. The mortality rate of patients with any bleeding was 1.5. Pediatric patients with ICH Intercranial Hemorrhage had a mortality rate of 20.8. However, of the 6864499 pediatric patients with bleeding the incidence of two events were 15.2 and 3.9, respectively .Though patients are at increased risk of bleeding, many other studies have shown either no increase in mortality or only slightly higher than the population average . Based on the rates of remission for adults and children, and proper treatment options, most patients should live a normal lifespan. 