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Previous Volume 337:1087-1089 October 9, 1997 Number 15 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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To the Editor: Law et al. (May 22 issue)¹ report that patients with idiopathic thrombocytopenic purpura who have poor responses to high-dose intravenous immune globulin are unlikely to have good or excellent responses to splenectomy. In our experience, however, the majority of patients with poor responses to intravenous immune globulin do respond well to splenectomy.

Our registry comprises 158 adults with idiopathic thrombocytopenic purpura (median age, 45 years) who were followed for a median of 3.4 years. Tests were performed repeatedly to exclude patients with thrombocytopenia other than idiopathic thrombocytopenic purpura (those with pseudothrombocytopenia; positive serologic tests for antibodies to . . . [Full Text of this Article]

References

This article has been cited by other articles:

• Kojouri, K., Vesely, S. K., Terrell, D. R., George, J. N. (2004). Splenectomy for adult patients with idiopathic thrombocytopenic purpura: a systematic review to assess long-term platelet count responses, prediction of response, and surgical complications. Blood 104: 2623-2634 [Abstract] [Full Text]  
• Duperier, T., Brody, F., Felsher, J., Walsh, R. M., Rosen, M., Ponsky, J. (2004). Predictive Factors for Successful Laparoscopic Splenectomy in Patients With Immune Thrombocytopenic Purpura. Arch Surg 139: 61-66 [Abstract] [Full Text]  
• Holt, D., Brown, J., Terrill, K., Goldsby, R., Meyers, R. L., Heximer, J., Nordfors, B., Slayton, W. B. (2003). Response to Intravenous Immunoglobulin Predicts Splenectomy Response in Children With Immune Thrombocytopenic Purpura. Pediatrics 111: 87-90 [Abstract] [Full Text]