Immune Thrombocytopenic Purpura

Teny Tjitra Sari

Sari


Immune thrombocytopenic purpura (ITP) telah mengalami perubahan definisi dan klasifikasi. Definisi ITP sebagai jumlah trombosit <100.000/uL dengan klasifikasi new diagnosed ITP, ITP persisten, dan ITP kronik. Disregulasi imun ITP menyebabkan menurunnya jumlah megakariosit di sumsum tulang dan trombosit di darah tepi. Diagnosis ditegakkan secara klinis dan pemeriksaan penunjang. Berbagai penelitian telah menunjukkan banyak perubahan pada tata laksana ITP. Bila tidak ada perdarahan ataupun perdarahan ringan, kasus ITP dapat ditatalaksana hanya dengan observasi. Namun demikian, dokter tetap harus dipertimbangkan faktor sosial dalam menentukan pilihan terapi seperti kecemasan orang tua, akivitas anak, dan jarak ke pusat kesehatan. Terapi IVIG dan kortikosteroid tetap menjadi pilihan pertama dalam tata laksana ITP bila terjadi perdarahan berat ataupun mengancam jiwa.


Kata Kunci


ITP (Immune Thrombocytopenic Purpura); kortikosteroid; trombosit

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Referensi


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DOI: http://dx.doi.org/10.14238/sp20.1.2018.58-64

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