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is your spleen always enlarged with itp????

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10 years 1 week ago #51423 by CHELS04
is your spleen always enlarged with itp???? was created by CHELS04
my docs have never said anything about it was just curious.
  • EmilyK
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  • Diagnosed jan 2015 at age 50 with 13,000 platelets.
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10 years 1 week ago #51430 by EmilyK
Replied by EmilyK on topic is your spleen always enlarged with itp????
I think it might be rare for it to be enlarged. Usually the spleen is perfectly healthy, as far as I know, it just isn't acting perfectly since it is destroying perfectly healthy platelets too early. Mine is not enlarged, although my Indium scan showed my spleen was destroying 80% of my platelets within 1.5 days. I'm not expert, however.
10 years 1 week ago #51431 by
Replied by on topic is your spleen always enlarged with itp????
ITP since 1989 and my spleen has never been enlarged.
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10 years 1 week ago #51434 by Ann
Replied by Ann on topic is your spleen always enlarged with itp????
I've always understood that if the spleen is enlarged they should check for something else other than ITP.
  • 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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10 years 1 week ago #51435 by Sandi
Replied by Sandi on topic is your spleen always enlarged with itp????
I've read the same thing as Ann. If the spleen is enlarged, they should look for another cause of low platelets, such as liver problems.
  • mrsb04
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  • ITP since 2014. Retired nurse. My belief is empower patients to be involved as much as possible in their care. Read, read, read & ALWAYS question medics about the evidence base they use.
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10 years 1 week ago #51437 by mrsb04
Replied by mrsb04 on topic is your spleen always enlarged with itp????
Emily I think the spleen acts perfectly normally. It is removing rogue antibodies which unfortunately are attached to platelets thus taking them out too. xx
The following user(s) said Thank You: Sandi,
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10 years 1 week ago #51439 by Aoi
Replied by Aoi on topic is your spleen always enlarged with itp????
I've also heard that in ITP the spleen should be normal on exam. My hematologist told me that last year, and my spleen continues to be normal on palpation and look normal on ultrasound.
  • 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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10 years 1 week ago #51443 by Sandi
Replied by Sandi on topic is your spleen always enlarged with itp????
You are right, MrsB! The spleen is doing exactly what it's supposed to do. The problem lies with the antibodies, not the spleen.
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