Q:

The following comments about immune thrombocytopenic purpura (ITP) are accurate:

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The following comments about immune thrombocytopenic purpura (ITP) are accurate:


  1. Platelet count is low.
  2. Circulating antiplatelet factor is present.
  3. Antiplatelet factor is immunoglobulin G (IgG) antibody.
  4. Purpura is directed against a platelet-associated antigen.
  5. May be fatal.
  6. All of the above.

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A. Platelet count is low.

DISCUSSION: ITP is a disease characterized by low platelet counts and a bone marrow with proliferative megakaryocytes. The disease is usually diagnosed by abnormal episodes of bleeding, which may occur from trauma, menses, etc. The causative event by which sensitized platelet-associated antibodies are developed is probably multiple. The effect of the plateletassociated antibodies, which is usually IgG, is directed against a platelet-associated antigen and, when coating of normal platelets occurs, results in the platelets being sequestered from the system by the reticuloendothelial system with resultant thrombocytopenia.

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