Treatment
A platelet count below 20,000 per μl is generally an indication for treatment. Patients with a count between 20,000 and 50,000 per μl are usually evaluated on a case-by-case basis, and, with rare exceptions, there is usually no need to treat patients with a count above 50,000 per μl. Hospitalization may be recommended in cases of very low counts, and is highly advisable if significant internal or mucocutaneous bleeding has developed. A count below 10,000 per μl is potentially a medical emergency, as the individual may be vulnerable to subarachnoid or intracerebral hemorrhage as a result of moderate head trauma. Treatment is typically administered under the direction of a hematologist and treatment recommendations sometimes differ for adult and pediatric ITP.
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