Evidence-Based Mini-Review: Is Indium-Labeled Autologous Platelet Scanning Predictive of Response to Splenectomy in Patients With Chronic Immune Thrombocytopenia?

Author:

Cuker Adam1,Cines Douglas B.1

Affiliation:

1. Departments of Medicine and Pathology and Laboratory Medicine, University of Pennsylvania, Philadelphia, PA

Abstract

Abstract Clinical scenario: An otherwise healthy 25-year-old woman returns to your office for management of chronic primary immune thrombocytopenia. She was diagnosed 6 months earlier and continues to require prednisone 15 mg daily and periodic infusions of intravenous immunoglobulin to maintain a hemostatic platelet count. You discuss second-line treatment options, including splenectomy. The patient asks if there are any means by which to predict likelihood of response to splenectomy. You have heard about the use of indium-labeled autologous platelet scanning for this purpose and wonder what the evidence shows.

Publisher

American Society of Hematology

Subject

Hematology

Reference13 articles.

1. Long-term follow-up after splenectomy performed for immune thrombocytopenic purpura (ITP);Schwartz;Am J Hematol,2003

2. Splenectomy for adult patients with idiopathic thrombocytopenic purpura: a systematic review to assess long-term platelet count responses, prediction of response, and surgical complications;Kojouri;Blood,2004

3. Efficacy and safety of splenectomy in immune thrombocytopenic purpura: long-term results of 402 cases;Vianelli;Haematologica,2005

4. The interpretation of platelet kinetic studies for the identification of sites of abnormal platelet destruction;Peters;Br J Haematol,1984

5. Surgical treatment of chronic idiopathic thrombocytopenic purpura;Cola;Int Surg,1986

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