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  • Title: Controversies in the management of acute idiopathic thrombocytopenic purpura: a survey of specialists.
    Author: Dubansky AS, Oski FA.
    Journal: Pediatrics; 1986 Jan; 77(1):49-52. PubMed ID: 3940360.
    Abstract:
    A total of 322 physicians, Board-certified in pediatric hematology, responded to a survey designed to determine several aspects of their management of children with acute idiopathic thrombocytopenic purpura. The survey demonstrates that, in practice among specialists, a controversy exists as to whether or not bone marrow examination needs to be performed, and how often corticosteroids should be prescribed. Seventy-four percent of practitioners would perform the bone marrow examination, whereas 26% would not do so. Forty-six percent of responders prescribe steroids more than half the time, whereas 54% prescribe steroids less than half the time. The questionnaire ascertained the reasons why physicians performed marrow aspirations and prescribed steroids.
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