My daughter is 10 years old and was diagnosed with ITP in January 2023. She was treated with IvIG and prednisone in March with a temporary response and started promacta in June 2023. We just received her first good count on promacta at 72,000 in September. She also had a positive ANA, Smith and dsdNA antibodies but no physical symptoms of lupus. Her rheumatologist referred to it as evolving lupus. Her rheumatologist recommended start on Plaquenil ASAP in conjunction with Promacta. Has anyone had success with this combination preventing the further development of lupus and/or eliminating the need for promacta to increase counts?
