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NLM AIDSLINE

Immunodeficiency-associated thrombocytopenic purpura (IDTP). Response to splenectomy.




 

Arch Surg. 1987 Oct;122(10):1175-8. Unique Identifier : AIDSLINE

Immunodeficiency-associated thrombocytopenic purpura (IDTP) is a feature of the acquired immunodeficiency syndrome--related complex. Current therapeutic modalities for IDTP include splenectomy and the administration of corticosteroids or other agents. Empiric treatment of IDTP has been analogous to that for immunologic thrombocytopenic purpura (ITP). The present report reviews 15 patients who underwent splenectomy for IDTP, demonstrates the successful use of surgical therapy, and defines our indications for splenectomy in the treatment of this disorder. Thirteen of 15 patients had initially failed to respond to steroid therapy. Fourteen patients (93%) initially responded to splenectomy, with platelet counts increasing to 150 X 10(9)/L (150,000/mm3) or greater. A continuing complete response was achieved in nine patients (60%) following splenectomy. After postsurgical adjunctive therapy, durable remission was achieved in 73% (11/15) of the patients. Complications occurred in three patients, and there were no deaths. The mean follow-up was 12.4 months. Splenectomy may be performed in the treatment of IDTP with acceptable morbidity and likelihood of response.

Acquired Immunodeficiency Syndrome/*COMPLICATIONS Adult Follow-Up Studies Homosexuality Human Male Middle Age Platelet Count Purpura, Thrombocytopenic/*ETIOLOGY/THERAPY Risk Factors *Splenectomy JOURNAL ARTICLE



 




Information in this article was accurate in January 30, 1988. The state of the art may have changed since the publication date. This material is designed to support, not replace, the relationship that exists between you and your doctor. Always discuss treatment options with a doctor who specializes in treating HIV.