hi, my son is suffering with ITP for the last 2 years. he is just 3yrs old. initially drs prescribed Ivig ing and steroids. platelet count did not increased beyond 15000. then reffered to heamatology drs and they put him on dapson for 9 months. no increase in platelet count. then he was on steroids and azithioprine 50mg a day. after 1 month steroids tappered down and stopped. no improvemnts in platelet count even after 1year azithiaprine treatment. drs now suggesting spleenectomy to the 3 year old boy. is it a suitable option?
Thanx for posting query. Yes splenectomy is one of the options in case of chronic it pas in your case .but there are certain other things related to this. In case the child develops severe bleeding manifestations then emergency splenectomy has to be done .and if this is not the case and the child is stable then it is a wise option to wait till at least 5 year of age and then take a call depending upon the platelet count at that time. Till that time you get your child vaccinated against some of the disease that are more common after splenectomy and take care of the child to prevent any injury while playing.