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AAP News Vol. 14 No. 7 July 1998, p. 2 © 1998 American Academy of Pediatrics
Painful, expensive bone marrow aspiration is not necessary to rule out leukemia and confirm a diagnosis of typical acute idiopathic thrombocytopenic purpura (ITP), Canadian researchers reported. Of the 7,612 bone marrow aspirations performed between 1984 and 1996 on children ages 6 months to 18 years at a Toronto children's hospital, 484 (6.4 percent) were to confirm a provisional diagnosis of ITP. During the same period, 672 children were admitted with a primary diagnosis of acute ITP. Thus, approximately 72 percent of children with ITP underwent bone marrow aspiration, researchers reported.
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