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Editorial
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Volume 349:903-905 August 28, 2003 Number 9
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Immune Thrombocytopenic Purpura — Let the Treatment Fit the Patient
James N. George, M.D., and Sara K. Vesely, Ph.D.

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-Related Article
 by Cheng, Y.
-PubMed Citation
Recognition of immune thrombocytopenic purpura is increasing because of the increasing frequency of routine blood counts that reveal unexpected thrombocytopenia. For patients who may have immune thrombocytopenic purpura, the essential decisions are whether to perform additional diagnostic studies and whether to initiate any treatment.

The diagnosis of immune thrombocytopenic purpura is established only by ruling out other causes of thrombocytopenia. The patient's history, the findings on physical examination, the blood counts, and the findings on examination of the blood smear are usually sufficient.1,2 Examination of the blood smear is essential to rule out in vitro platelet clumping that can cause . . . [Full Text of this Article]


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From the Departments of Medicine and Biostatistics and Epidemiology, University of Oklahoma Health Sciences Center, Oklahoma City.




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