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How I diagnose and treat thrombocytopenia in geriatric patients. Blood 2024 Jan 18;143(3):214-223

Date

11/13/2023

Pubmed ID

37956435

DOI

10.1182/blood.2022017634

Scopus ID

2-s2.0-85180443922 (requires institutional sign-in at Scopus site)

Abstract

Thrombocytopenia in older individuals is a common but diagnostically challenging condition that has variable clinical impact to those who are affected. Diagnostic approach requires evaluation of the preexisting clinical conditions, detailed review of medications, and assessment for disorders that warrant urgent treatment. In this article, we describe a systematic approach to diagnosis of thrombocytopenia and present a schematic review for management strategies. Three clinical scenarios are presented that are relevant for their prevalence and management challenges in an older adult population. The first scenario addresses primary immune thrombocytopenia (ITP) and reviews different treatment options. The second one addresses complications of thrombocytopenia in management of the myelodysplastic syndrome. The last one reviews diagnostic challenges of drug-induced ITP.

Author List

Foy P, Friedman KD, Michaelis LC

Authors

Kenneth D. Friedman MD Professor in the Medicine department at Medical College of Wisconsin
Laura Michaelis MD Chief, Professor in the Medicine department at Medical College of Wisconsin




MESH terms used to index this publication - Major topics in bold

Aged
Humans
Myelodysplastic Syndromes
Purpura, Thrombocytopenic, Idiopathic
Thrombocytopenia