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Previous Volume 330:1609-1610 June 2, 1994 Number 22 Next

	Since this article has no abstract, we have provided an extract of the first 100 words of the full text and any section headings.

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Idiopathic thrombocytopenic purpura is a common problem in hematologic practice. The acute form of the disease, which affects mainly children, is almost always self-limited. The physician's role in these cases is to tide the patient over the attack, sometimes with a brief course of corticosteroids or intravenous immune globulin. Chronic idiopathic thrombocytopenic purpura is a far more troublesome disorder. The typical patient is a woman in her 30s who bruises easily and has gingival bleeding or epistaxis and, often, menorrhagia. Petechiae are prominent findings, but splenomegaly is not a feature of the disease. Dangerous spontaneous hemorrhage is unusual, even when . . . [Full Text of this Article]

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