Can a two-month-old baby with acute ITP be treated?

Patient's question:

My daughter was diagnosed with acute ITP at 2 months old and 9 months later, her platelet count dropped to 2,000. After treatment with immunoglobulin and hormones, her platelet count returned to normal. After discharge, she underwent check-ups every half month, and her platelet count has consistently been between 350 and 450, with her overall health in good condition.

Doctor's answer:

6 to 8 months without treatment and with normal blood tests can be considered as recovery. If the condition recurs, it doesn't count as a relapse but rather as a new illness. In fact, using immunosuppressants without platelet transfusions can also lead to the formation of platelet antibodies, and compared to platelet transfusions, it has more adverse effects. For such a young child with ITP, over-treatment is unnecessary, and even hormones and intravenous immunoglobulin (IVIG) are not needed. Supportive treatment is sufficient, such as platelet transfusions when platelet counts are low. Most cases can recover on their own.

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