RESUMO

Two hundred thirty of 696 evaluable children were identified as having chronic idiopathic thrombocytopenic purpura (ITP). Splenectomy was performed in 30 (13%), achieving remission in 22 (73%). Favorable response was associated to higher initial platelet count. Spontaneous remission was achieved by 53/200 non-splenectomized patients (26.5%), up to 10 years from diagnosis. More than half of them recovered between 6th and 12th month from diagnosis. The recovery rate was significantly higher (P=0.03) in children aged<9 years (31.2%) than in older children (14.6%). No reliable factor predictive of response in individual cases is still available.

Assuntos

Avaliação de Resultados em Cuidados de Saúde , Púrpura Trombocitopênica Idiopática/cirurgia , Esplenectomia , Adolescente , Fatores Etários , Criança , Pré-Escolar , Doença Crônica , Bases de Dados Factuais , Seguimentos , Humanos , Lactente , Contagem de Plaquetas , Púrpura Trombocitopênica Idiopática/diagnóstico , Indução de Remissão , Remissão Espontânea , Resultado do Tratamento