"Why Does My Baby Have Acute Purpura with Decreased Platelet Count?"

Thrombocytopenic Purpura: Causes, Symptoms, and Treatment for Infants

Thrombocytopenic purpura (TP) is an immune-mediated disorder characterized primarily by symptoms such as skin and mucosal bleeding, ecchymoses, and gingival bleeding. When infants experience an acute phase of thrombocytopenic purpura, prompt treatment is crucial, encompassing general management and pharmacological interventions.

1. General Management

During the acute phase of thrombocytopenic purpura in infants, parents should ensure ample rest for their child, avoiding strenuous activities and excessive fatigue. Maintaining good indoor air circulation, with appropriate temperature and humidity, is also essential. Dietary recommendations include light and easily digestible foods like millet porridge and pumpkin porridge, with fresh fruits and vegetables like apples, bananas, and spinach consumed in moderation.

2. Pharmacological Treatment

If severe bleeding symptoms, such as hematemesis or hematochezia, occur during the acute phase, infants must be treated with glucocorticoids as prescribed by a physician, examples including Prednisone Acetate Tablets and Dexamethasone Tablets. For infants who are intolerant or unresponsive to glucocorticoids, Cyclosporine Soft Capsules or Azathioprine Tablets may be prescribed. Additionally, intravenous immunoglobulin (IVIG) therapy may be administered during the acute phase as per medical advice.

3. Other Treatments

In cases of severe infection during the acute phase, antibiotic therapy with medications like Amoxicillin Granules or Cefixime Granules is necessary. If hypersplenism develops, surgical removal of the spleen may be indicated. It is crucial for parents to promptly seek medical attention for their infant and cooperate fully with doctors during diagnostic tests and treatments.