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idiopathic thrombocytopenic purpura

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Idiopathic thrombocytopenia is a diagnosis of exclusion.

Two distinct forms are recognised:

  • an acute, transient disorder, mainly of children. The acute form is defined as lasting less than six months.
  • a chronic, insidious form, mainly of adults, lasting more than six months

The pathogenesis of the two forms is thought to be different. The acute form is due to immune complexes; the chronic form, to specific IgG antiplatelet antibodies.

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