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Discussion about multiple myeloma treatments, stem cell transplants, clinical trials, alternative medicines, supplements, and their benefits and side effects.

Decrease in platelet count 1 year post transplant

by mahajansk on Mon Jun 02, 2014 11:03 am

My father had decreased platelet count 1 year after autologous BMT [bone marrow transplant / stem cell transplant]. On biopsy he is still in remission and doctor says that he has developed secondary ITP [idiopathic thrombocytopenic purpura] post transplant.

I dont know what to do. Can anyone guide me?

mahajansk
Name: Gaurav Mahajan
Who do you know with myeloma?: my father
When were you/they diagnosed?: october 2012
Age at diagnosis: 63

Re: Decrease in platelet count 1 year post transplant

by blair77 on Mon Jun 02, 2014 11:11 am

"In mild cases, only careful observation may be required but very low counts or significant bleeding may prompt treatment with corticosteroids, intravenous immunoglobulin, anti-D immunoglobulin, or immunosuppressive drugs. Refractory ITP (not responsive to conventional treatment) may require splenectomy, the surgical removal of the spleen. Platelet transfusions may be used in severe bleeding together with a very low count. Sometimes the body may compensate by making abnormally large platelets."

I wouldn't worry too much about it as it seems that treatment is available if needed.

blair77
Who do you know with myeloma?: My husband
When were you/they diagnosed?: April 2013
Age at diagnosis: 43

Re: Decrease in platelet count 1 year post transplant

by Dr. Jason Valent on Mon Jun 02, 2014 5:56 pm

Your doctor should be able to guide you on whether or not this needs treatment currently. Some cases of ITP, if not severe, can be monitored.

Dr. Jason Valent
Name: Jason Valent, M.D.
Beacon Medical Advisor


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