000			02997cam a2200349 a 4500
003			EG-GiCUC
005			20250223032120.0
008			181124s2018 ua ho f m 000 0 eng d
040			_aEG-GiCUC _beng _cEG-GiCUC
041	0		_aeng
049			_aDeposite
097			_aM.Sc
099			_aCai01.11.28.M.Sc.2018.Do.C
100	0		_aDoaa Ahmed Mahmoud Nasr
245	1	0	_aChildhood acute ITP, epidemiology, management and long-term outcome : _bA ten-year retrospective study / _cDoaa Ahmed Mahmoud Nasr ; Supervised Nadia Abdelrahman Zaghlool , Magy Samir Abdelwahab , Rasha Abdelraouf Abdelaziz
246	1	5	_aمرض قلة الصفيحات الدمويه المناعى الحاد بالأطفال: معدل إنتشا ره: طرق علاجه ونتائج ذلك على المدى الطويل
260			_aCairo : _bDoaa Ahmed Mahmoud Nasr, _c2018
300			_a96 P. : _bfacsimiles , Photographs ; _c25cm
502			_aThesis (M.Sc.) - Cairo University - Faculty of Medicine - Department of Pediatrics
520			_aAim of the work: In the current study, we aimed to illustrate features, epidemiology of acute immune thrombocytopenia (ITP) andestimate the prevalence and long-term outcome of acute ITP in our community. Also we aimed to compare the effect of different treatment regimens on the outcome and to estimate the percentage of chronicity and its predictive factors. Moreover, we aimed to establish a protocol of management and follow up guided by the results of our study.Subjects and methods: This is a 10 year observational retrospective study that included medical record reviewof 526 patients. All cases data collected included; name , sex, date of birth ,age at presentation, platelet count and bleeding symptoms , treatment received and response , complication(s) of disease ,and therapy (if they arise) including splenectomy. Patients' data in the first year of presentation were recorded including response to therapy and final outcome.Results: Among 526 patients there was 281 male and 245 female with (M: F) ratio 1.14:1, with a mean age 5 ± 3.2 years. Patients presented with skin bleeds in the form of purpura or ecchymosis in 349 patients (66.3%), mucous membrane bleeds as epistaxis or gum bleeding in 30 patients (5.7%) or both skin and mucous membrane bleeding in 137 patients (26%). The mean presenting platelet count was 18±17.6 x109/L. medical treatment was administered to 82.3% of patients with acute ITP but 17.7% did not receive any treatment. Seventy-three (13.8% of all patients) of those who received no treatment showed spontaneous remission
530			_aIssued also as CD
653		4	_aITP
653		4	_aPurpura
653		4	_aResponse
700	0		_aMagy Samir Abdelwahab , _eSupervisor
700	0		_aNadia Abdelrahman Zaghlool , _eSupervisor
700	0		_aRasha Abdelraouf Abdelaziz , _eSupervisor
856			_uhttp://172.23.153.220/th.pdf
905			_aNazla _eRevisor
905			_aShimaa _eCataloger
942			_2ddc _cTH
999			_c68672 _d68672