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ITPFrom: Joshua Copel (joshua.copel@yale.edu)Tue May 28 08:15:45 1996
Subject: Time: 9:16 AM OFFICE MEMO ITP Date: 5/28/96 To me "bona fide" ITP is as Ken Mosie says, either diagnosed before pregnancy, or a nadir below 75,000, where gestational thrombocytopenics seem not to go. The thrombocytopenia should be isolated (i.e. no neutropenia or anemia), and without hypertension. Onset early in pregnancy, in the first or early second trimester, is also favorable for ITP as opposed to gestational. It is NOT always an easy call. On another note, the post regarding the comment "it always seems to happen to families of those in medicine", I agree that those saying that are insensitive. Moreover, they are showing their ignorance: it simply is not true. Josh Copel Yale Ob-Gyn, MFM Joshua.Copel@Yale.edu
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