Tay, Stanley

Szabo, Ferenc

Spain, Brian

2013-10

Thresholds for platelet counts in patients at risk for bleeding are often used before surgery. We present a case report of a 13-year-old female with chronic idiopathic thrombocytopenia purpura for dental extraction with a platelet count of 4 × 10 L. Usually, therapies including platelet infusions, IV immunoglobulin, or corticosteroids would be used to increase platelet numbers. In this patient, rather than using any of these prophylactic therapies preoperatively, we used a "watchful waiting" strategy with a multidisciplinary team, the use of tranexamic acid and the aforementioned therapies available only as "rescue" agents.

A & A case reports 2013-10; 1(1): 3-4

https://pubmed.ncbi.nlm.nih.gov/25611600/?otool=iaurydwlib

https://hdl.handle.net/10137/5634

Dental extraction in a child with chronic idiopathic thrombocytopenia purpura: are preoperative platelet transfusions necessary?

Journal Article

Publication