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New Dr. Bussel Article

  • whatthehwegoingtodowiththiss
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13 years 9 months ago #26425 by whatthehwegoingtodowiththiss
New Dr. Bussel Article was created by whatthehwegoingtodowiththiss
www.ncbi.nlm.nih.gov/pubmed/22740443

How I treat immune thrombocytopenia (ITP): the choice between splenectomy or a medical therapy as a second-line treatment.


Do not completely understand his views regarding this. Maybe someone can clarify?

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  • 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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13 years 9 months ago #26428 by Sandi
Replied by Sandi on topic Re: New Dr. Bussel Article
My translation:

Well, he is saying that splenectomy is becoming less favorable as a treatment due to its unpredictability and invasiveness. He is saying that alternative second line treatments such as the TPO's and Rituxan are popular choices due to the ability of patients to tolerate the meds with few side effects and good response rates.

He also says that some ITP patients improve (with or without treatments) after a year or two (which I would take to mean remission), so splenectomy may be unnecessary. He believes that the patient should play a part in the decision-making of treatment.

That's the gist of it in my words and if anyone disagrees, please speak up. It's pretty much what he said in the video that was posted here a few weeks ago.

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