@article{oai:niigata-u.repo.nii.ac.jp:00021280, author = {高井, 和江 and 真田, 雅好}, issue = {9}, journal = {新潟医学会雑誌, 新潟医学会雑誌}, month = {Sep}, note = {We report the results of treatments and prognosis for idiopathic thrombocytopenic purpura (ITP) of adults in our hospital. Mild thrombocytopenic patients could be observed with no therapy and no risk of bleeding. Fifty cases were treated with corticosteroid, but 16 cases of them were splenectomized and 4 cases were administered immunosuppressants because of inadequate effect of steroid. Steroid were effective in 23 cases (46%) of 50 cases finally. Splenectomy was performed in 19 cases and it was effective in 17 cases (89%) eventually. Immunosuppressants were useful in some patients as adjuvant therapy after splenectomy. Finally 41 cases (77%) of 53 cases obtained satisfactory results from treatments in some way. Ten patients died of unrelated diseases or infection during long term administration of steroid or immunosuppressants. One case of Evans syndrome had evolved to malignant lymphoma after 7 years from diagnosis. Overall, the prognosis for life is good in ITP except for Evans syndrome, and long term immunosuppressive therapy should be avoided.}, pages = {619--623}, title = {2) 当院における特発性血小板減少性紫斑病(ITP)の治療成績と長期予後(新潟血栓止血研究会10周年記念特別例会記録)}, volume = {105}, year = {1991} }