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Idiopathic Thrombocytopenic Purpura ( ITP ) ,[object Object]
Emphases of This Lesson ,[object Object],[object Object],[object Object],[object Object]
Outline ,[object Object],[object Object]
Outline ,[object Object]
Etiology and pathogenesis ,[object Object]
Etiology a t present   ,[object Object],[object Object],[object Object],[object Object]
Pathogenesis ,[object Object],[object Object]
Pathogenesis ,[object Object]
Pathogenesis
 
antigens on the platelet surface platelet autoantibody platelet mononuclear macrophage Fc  receptor
Clinical manifestations ,[object Object],[object Object],[object Object]
Clinical manifestations ,[object Object],[object Object]
[object Object],[object Object]
[object Object]
Clinical manifestations ,[object Object],[object Object]
Clinical manifestations ,[object Object],[object Object],[object Object]
Types of diseases ,[object Object],[object Object],[object Object]
aITP cITP age A peak incidence between2 and 5 years of age More frequent in adolescents and young adults onste relatively acute relatively  chronic degree of  hemorrhage relatively severe  relatively mild course of disease ≦ 6 months ﹥ 6 months platelet count Mostly,﹤20×10 9 /L Commonly(30~80) ×10 9 /L Numbers of megakaryocytes of bone marrow normal or increased  increased markedly Difference between aITP and cITP
Laboratory studies ,[object Object]
Laboratory studies
Laboratory studies ,[object Object],[object Object],[object Object]
Laboratory studies ,[object Object],[object Object]
Laboratory studies
Laboratory studies
Two mature megakaryocytes;  one with a very high N/C ratio, the other with a very low N/C ratio. An almost bare megakaryocyte nucleus lies at 5 o'clock and a stuffed macrophage at 11 o'clock. Idiopathic thrombocytopenic purpura (ITP) marrow
Two bare megakaryocyte nuclear masses.  ITP marrow
Laboratory studies ,[object Object],[object Object],[object Object]
Laboratory studies ,[object Object],[object Object]
Diagnosis ,[object Object],[object Object],[object Object],[object Object],[object Object]
Differential Dignosis ,[object Object]
Differential Dignosis ,[object Object]
Differential Dignosis ,[object Object]
Differential Dignosis ,[object Object]
Differential Dignosis ,[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object]
Treatment ,[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object]
Treatment ,[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Treatment ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Follow-Up ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
 

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23 Ppt Itp

  • 1.
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  • 7.
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  • 10.  
  • 11. antigens on the platelet surface platelet autoantibody platelet mononuclear macrophage Fc receptor
  • 12.
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  • 14.
  • 15.
  • 16.
  • 17.
  • 18.
  • 19. aITP cITP age A peak incidence between2 and 5 years of age More frequent in adolescents and young adults onste relatively acute relatively chronic degree of hemorrhage relatively severe relatively mild course of disease ≦ 6 months ﹥ 6 months platelet count Mostly,﹤20×10 9 /L Commonly(30~80) ×10 9 /L Numbers of megakaryocytes of bone marrow normal or increased increased markedly Difference between aITP and cITP
  • 20.
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  • 26. Two mature megakaryocytes; one with a very high N/C ratio, the other with a very low N/C ratio. An almost bare megakaryocyte nucleus lies at 5 o'clock and a stuffed macrophage at 11 o'clock. Idiopathic thrombocytopenic purpura (ITP) marrow
  • 27. Two bare megakaryocyte nuclear masses. ITP marrow
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