PEDIATRICS Vol. 77 No. 1 January 1986, pp. 49-52
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Controversies in the Management of Acute Idiopathic Thrombocytopenic Purpura: A Survey of Specialists

A. Stephen Dubansky MD1 and Frank A. Oski MD1

1 From the Department of Pediatrics, Upstate Medical Center, Syracuse, New York

A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.

Key Words: acute idiopathic thrombocytopenic purpura • bone marrow aspiration • steroids

Submitted on March 25, 1985
Accepted on April 29, 1985


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