Question
My daughter was diagnosed with acute ITP at 9 months old, and her platelet count dropped to 2000 at its lowest, which returned to normal after receiving intravenous immunoglobulin and hormone therapy. She has been discharged and checked every half month since then, and her platelet count has remained between 350 and 450, with good overall health.
Answer
It is normal for children between 6 to 8 months old to have normal blood counts without treatment. This can be considered a recovery. If she gets sick again, it is not considered a relapse but rather a recurrence of the disease. In fact, using immunosuppressants without platelet transfusions can also lead to the formation of platelet antibodies. The adverse effects are more significant compared to platelet transfusions. It is not necessary to over-treat such a young child with ITP. Hormones and intravenous immunoglobulins are not needed. Just provide supportive treatment is sufficient. For example, transfusing platelets when the platelet count is low. Most cases can recover on their own.