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PURPURA IN INFANTS AND CHILDREN

PURPURA IN INFANTS AND CHILDREN IN RECENT years, the increasing frequency of the occurrence of purpura in childhood has made more important an understanding of the natural history of the disease and the problem of proper management of these patients. Opinion has varied from the one extreme of doing nothing or as little as possible, in the hope that the child will "outgrow" a tendency to bruise easily or bleed freely after minimal trauma, to the other of urging radical treatment such as early splenectomy because of the danger of uncontrollable and possibly fatal hemorrhage. Each course may be defended on the basis of personal experience with one or a few patients. A pediatrician may be impressed by the number of children who have relatively little trouble with purpura and recover in a few weeks or months and decide no surgical treatment is ever needed. A surgeon who is called upon to operate on a http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png American journal of diseases of children American Medical Association

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References (3)

Publisher
American Medical Association
Copyright
Copyright © 1953 American Medical Association. All Rights Reserved. Applicable FARS/DFARS Restrictions Apply to Government Use.
ISSN
0096-8994
eISSN
1538-3628
DOI
10.1001/archpedi.1953.02050070269001
Publisher site
See Article on Publisher Site

Abstract

IN RECENT years, the increasing frequency of the occurrence of purpura in childhood has made more important an understanding of the natural history of the disease and the problem of proper management of these patients. Opinion has varied from the one extreme of doing nothing or as little as possible, in the hope that the child will "outgrow" a tendency to bruise easily or bleed freely after minimal trauma, to the other of urging radical treatment such as early splenectomy because of the danger of uncontrollable and possibly fatal hemorrhage. Each course may be defended on the basis of personal experience with one or a few patients. A pediatrician may be impressed by the number of children who have relatively little trouble with purpura and recover in a few weeks or months and decide no surgical treatment is ever needed. A surgeon who is called upon to operate on a

Journal

American journal of diseases of childrenAmerican Medical Association

Published: Mar 1, 1953

There are no references for this article.