title: Dapsone, danazol, and intrapartum splenectomy in refractory ITP complicating pregnancy.
abstract: Currently there is no consensus on the treatment of refractory idiopathic thrombocytopenic purpura (ITP) complicating pregnancy. Our patient with chronic ITP complicating pregnancy, who was refractory to steroids, dapsone, and danazol, was treated successfully with intrapartum splenectomy.
authors.affiliation: Obstetrics and Gynecology Unit 1, Christian Medical College, Ida Scudder Road, Vellore, India. lillyanil@cmcvellore.ac.in
authors.forename: Lilly
authors.initials: L
authors.lastname: Varghese
authors.forename: Auro
authors.initials: A
authors.lastname: Viswabandya
authors.forename: Arpit Jacob
authors.initials: AJ
authors.lastname: Mathew
mesh_terms: D000893:Anti-Inflammatory Agents / Q000627:therapeutic use; D002585:Cesarean Section; D003613:Danazol / Q000627:therapeutic use*; D003622:Dapsone / Q000627:therapeutic use*; D003907:Dexamethasone / Q000627:therapeutic use; D004965:Estrogen Antagonists / Q000627:therapeutic use*; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006801:Humans; D011241:Prednisone / Q000627:therapeutic use; D011247:Pregnancy; D011248:Pregnancy Complications / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000188:drug therapy / Q000601:surgery / Q000628:therapy*; D013156:Splenectomy
chemical_list: D000893:Anti-Inflammatory Agents; D004965:Estrogen Antagonists; D005938:Glucocorticoids; D003907:Dexamethasone; D003622:Dapsone; D003613:Danazol; D011241:Prednisone