Abstract
Immune thrombocytopenia is a condition in which the immune system attacks and destroys blood platelets, leading to complications such as excessive bleeding. This review aims to explore current strategies in the diagnosis and treatment of immune thrombocytopenia, aiming to improve the understanding and management of this challenging hematological condition. Objective: The aim of this study is to analyze the diagnostic and therapeutic approach to immune thrombocytopenia, highlighting current trends and knowledge gaps. The methodology involved systematic literature search using health science descriptors and careful selection of relevant studies for analysis. Methodology: Descriptors such as "Immune Thrombocytopenia," "Pathophysiology," "Diagnosis," and "Treatment" were used in various combinations to identify relevant articles in electronic databases. Inclusion criteria were defined based on relevance to the topic and methodological quality of selected studies. After identifying relevant studies, available diagnostic and therapeutic approaches in clinical practice were analyzed. Results: Analysis of selected studies revealed a variety of diagnostic strategies used, including laboratory tests and imaging. Regarding treatment, therapeutic options such as corticosteroids, intravenous immunoglobulin, and spleen-directed therapies were identified. Additionally, new therapeutic approaches under development, such as targeted biological therapies, were explored as promising alternatives. Conclusion: In conclusion, immune thrombocytopenia represents a significant clinical challenge that requires a multidisciplinary and individualized approach to its management. Understanding underlying mechanisms, early identification of patients at risk, and access to effective treatments are crucial for improving clinical outcomes and patients' quality of life. Continuity of research and medical education are essential to advance knowledge and treatment of this complex hematological condition.
References
Atalla A, Hallack Neto AE. Púrpura trombocitopênica imune na criança: qual a nossa realidade? Revista Brasileira de Hematologia e Hemoterapia. 2009 Feb;31(1).
Augusto G, Vicari P. Trombocitopenia imune: diagnóstico e evolução de pacientes acompanhados em serviço de referência do Estado de São Paulo: Immune thrombocytopenia: diagnosis and evolution of patients followed up at a reference service in the State of São Paulo. Revista Científica do Iamspe [Internet]. 2023 Dec 15 [cited 2024 Fev 3];12(4). Available from: https://ojs.iamspe.sp.gov.br/index.php/revistacientifica/article/view/164
Braga JAP, Hokazono M, Terreri MTRA, Hilário MOE. Púrpura trombocitopênica imunológica como manifestação inicial de lúpus eritematoso sistêmico juvenil. Revista Brasileira de Reumatologia [Internet]. 2003 Dec 1;43:392–6. Available from: https://www.scielo.br/j/rbr/a/KWffHnyfB7LDNz58YJFBykm/
Coutinho IA da S. Trombocitopenia imune: uma revisão [Internet]. estudogeral.uc.pt. 2015 [cited 2024 Fev 3]. Available from: https://estudogeral.uc.pt/handle/10316/30496
Neto JBA, Vicari P, Cardoso FR, Sales GM, Carreiro VP, Arce IL, et al. COVID-19 ASSOCIADA À TROMBOCITOPENIA IMUNE. Hematology, Transfusion and Cell Therapy [Internet]. 2020 Nov 1 [cited 2024 Fev 3];42:522–3. Available from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7604118/
Nogueira De Lima T, Beira J, Da Silva M, Rodrigues A. PÚRPURA TROMBOCITOPÊNICA: AUTO-IMUNE E TROMBÓTICA [Internet]. Available from: https://portal.unisepe.com.br/unifia/wp-content/uploads/sites/10001/2018/06/063_artigo_purpura_tromboctopenica.pdf
Santana L, Neves T, Fenilli A, Garcia De Borba L, Kirst D, Fetter F, et al. Trombocitopenia autoimune em crianças: revisão das recomendações do último consenso Purpura thrombocytopenic in children: a review from the last consensus [Internet]. Available from: https://www.sprs.com.br/sprs2013/bancoimg/140324183300bcped_13_03_03.pdf
Souza VB de, Silva DRC de F da, Santos MD de D. Tratamento da trombocitopenia imune primária em adultos: uma revisão de literatura. Revista Brasileira de Pesquisa em Saúde/Brazilian Journal of Health Research [Internet]. 2024 Apr 30 [cited 2024 Fev 3];26(supl_1):122–8. Available from: https://periodicos.ufes.br/rbps/article/view/44404
Tejo AM, Dias NB, Inácio MVS, Del Tedesco Jr. WL. PÚRPURA TROMBOCITOPÊNICA IMUNE ASSOCIADA A INFECÇÃO PELO VÍRUS DA DENGUE. The Brazilian Journal of Infectious Diseases. 2021 Jan;25:101211.
Utsch P, Reis R, Tavares R, Cruz T, Brito B, Ribeiro K, et al. RELATO DE CASO: TROMBOCITOPENIA IMUNE PÓS VACINAÇÃO COVID. Hematology, Transfusion and Cell Therapy. 2021 Oct 1;43:S514–4.

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