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Clinical Case 1
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A 3-year-old girl is brought to you by her mother after she is noted to have small pink spots on her lower extremities and blood blisters in her mouth. She has had no recent illnesses. You note petechiae on her lower extremities and purpura in her oropharynx. The mother and patient deny hematuria, rectal bleeding, or melena. You obtain a CBC, which is normal except for a platelet count of 15,000/mm3. You suspect idiopathic thrombocytopenic purpura (ITP).

1

What are your recommendations to her mother?
A)Administration of prednisone 1mg/kg by mouth daily.
B)Administration of rituximab 375 mg/m2 IV weekly for 4 weeks.
C)Immediate splenectomy.
D)Observation and education.
E)Administration of IV immune globulin 1 g/kg daily for 2 days.





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