Dapsone for chronic idiopathic thrombocytopenic purpura in children and adults - a report on 90 patients

被引:45
作者
Damodar, S [1 ]
Viswabandya, A [1 ]
George, B [1 ]
Mathews, V [1 ]
Chandy, M [1 ]
Srivastava, A [1 ]
机构
[1] Christian Med Coll & Hosp, Dept Haematol, Vellore 632004, Tamil Nadu, India
关键词
dapsone; idiopathic thrombocytopenic purpura;
D O I
10.1111/j.1600-0609.2005.00545.x
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Data on 90 patients (55 adults and 35 children) with chronic idiopathic thrombocytopenic purpura (ITP) and a platelet count of < 50 x 10(9)/L treated with dapsone at a dose of 1-2 mg/kg/d are presented. A response was observed in 57 (63.3%) patients. The average time for response was 3.5 months (range 1-9) and the average duration of treatment with dapsone was 10.4 months (range 4-14). Overall response rates of 65.7% and 61.8% were observed in children and adults respectively. Side effects requiring discontinuation of therapy were observed in three (2%) patients. These results demonstrate that dapsone is an effective, inexpensive and well-tolerated treatment for chronic ITP, in both children and adults and could be considered for patients who fail steroid therapy.
引用
收藏
页码:328 / 331
页数:4
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