RT Journal Article SR Electronic T1 Immune thrombocytopenia: No longer ‘idiopathic’ JF Cleveland Clinic Journal of Medicine JO Cleve Clin J Med FD Cleveland Clinic SP 358 OP 373 DO 10.3949/ccjm.78gr.10005 VO 78 IS 6 A1 Keith McCrae YR 2011 UL http://www.ccjm.org/content/78/6/358.abstract AB Immune thrombocytopenia (ITP) is a common hematologic disorder. Its pathogenesis involves both accelerated platelet destruction and impaired platelet production. First-line agents are usually effective initially but do not provide long-term responses. Splenectomy remains an effective long-term therapy, as does rituximab (Rituxan) in a subset of patients. Thrombopoietic agents offer a new alternative, although their place in the overall management of ITP remains uncertain.