My 8 year old daughter was diagnosed with acute ITP early June. She had a platelet count of 9,000. She did a 7 day course of 60mg prednisone. 3 weeks later she had another drop to 5,000. We tried the prednisone again, this time it lasted less than two weeks. We then tried IVIG treatment. The side effects were awful for her (asceptic meningitis) and she only go up to about 50 for about a week. She had another drop and we decided to do another round of steroids. Again, they didn't even last two weeks before she had another drop to 5,000. She is ANA and DAT positive so she has also been on Hydrochloroquin for about 4 weeks. The side effects from the steroids have been awful for her. She is just about 3 months into this but we are already talking about secondary treatments of Rituxan this week or next. Does anyone have experience administering Rituxan this soon this early in the ITP cycle? We are just feeling helpless. Any thoughts or experiences are appreciated. also, have you administered Rituxan during the pandemic?