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Prepping ITP child for dental surgery Monday 9 years 11 months ago #37449

  • runnershirl
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I've adopted this feeling since my child was diagnosed 7 months ago with acute ITP that I'd better do all my own research because I'm nto getting the answers otherwise. So, to fellow parents:

Has your child had surgery, and if so, what consdierations do I need to consider in preparation for same?

This is dental surgery and dr. wants to check platelets 3 days prior, and suggested if platelets are low, they'd want to administer ivig prior. but, not antibiotics prior to the surgery, despite the obvious infections in her teeth. Seems odd?

I also read that many kids are diagnosed as primary ITP initially but most are later determined to have been caused by something else and were actually secondary ITP...Anyone know of a list of conditions which coudl cause ITP...Which autoimmune diseases? And what tests would rule each out? I'm ready to suggest those less invasive ones to clear up any concerns (if they're labs only).

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Prepping ITP child for dental surgery Monday 9 years 11 months ago #37455

  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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Doing your own research is fantastic! Most people here do, and as long as you stick to credible websites and information, you will learn a lot.

As for the surgery, I would imagine that your daughter has a hematologist and dentist or oral surgeon? The Hemo would manage the platelets and the dentist should manage antibiotics for any infections. Many times, the specialists (Hemos) will not prescribe for infections, so you should ask the dentist about that. If she does have an infection, I can't believe they would just ignore that. Maybe they will prescribe after the surgery.

Most cases of ITP in children are primary. It is unusual for a child to become diagnosed with another autoimmune disorder as the primary and ITP the secondary, especially a child as young as yours. I have seen a few adolescents develop Lupus which is then the primary disorder, but that is rare. Lupus and Thyroid problems are the top autoimmune disorders that can go along with ITP, but as I said, not normally in children that young. Many times, an autoimmune disorder such as Lupus cannot be diagnosed for years anyway since it can take a long time to develop. Tests probably won't help at this point. If she doesn't have any strange symptoms, I wouldn't worry about it. Without symptoms, it's hard to run tests if you don't know what you are looking for.

The main trigger for ITP in young children is vaccines, mostly the MMR. Sometimes an illness can trigger it, or an antibiotic. In those cases, there isn't much you can do but wait it out and hope that remission occurs.
The following user(s) said Thank You: runnershirl, gracie22

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