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CASE REPORT article

Front. Immunol.

Sec. Autoimmune and Autoinflammatory Disorders : Autoimmune Disorders

Volume 16 - 2025 | doi: 10.3389/fimmu.2025.1576053

This article is part of the Research Topic Autoimmune Diseases: from molecular mechanisms to therapy development View all 7 articles

A CASE OF PEDIATRIC PERSISTENT REFRACTORY ITP RESPONSIVE TO

Provisionally accepted
Antonella Sau Antonella Sau 1*Gianfranco Di Prinzio Gianfranco Di Prinzio 1Daniela Onofrillo Daniela Onofrillo 1Anna Caterina Russo Anna Caterina Russo 1Mauro Di Ianni Mauro Di Ianni 2
  • 1 Santo Spirito Hospital, Pescara, Italy
  • 2 Department of Medicine and Sciences of Aging, G. d'Annunzio University of Chieti and Pescara, Chieti, Italy

The final, formatted version of the article will be published soon.

    Immune thrombocytopenia (ITP) is a rare hematologic disorder characterized by low platelet counts due to an immune-mediated destruction of platelets. While corticosteroids, intravenous immunoglobulin (IVIG) are the mainstays of treatment, a subset of patients may remain refractory to these therapies. Here, we present a case of a 6-year-old girl diagnosed with refractory ITP, who failed to respond to standard therapies but showed a remarkable clinical improvement with avatrombopag, a thrombopoietin receptor agonist.

    Keywords: immune thrombocytopaenia (ITP), Avatrombopag, Thrombopoietin receptor (TPOr) agonists, Children, Platelet, PERSISTENT OR CHRONIC IMMUNE THROMBOCYTOPENIA

    Received: 13 Feb 2025; Accepted: 31 Mar 2025.

    Copyright: © 2025 Sau, Di Prinzio, Onofrillo, Russo and Di Ianni. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

    * Correspondence: Antonella Sau, Santo Spirito Hospital, Pescara, Italy

    Disclaimer: All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article or claim that may be made by its manufacturer is not guaranteed or endorsed by the publisher.

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