Most people with lupus who have mild to moderate thrombocytopenia do not need treatment. When necessary, prednisone and intravenous gammaglobulin (called IV Ig) are commonly used. Other drugs, such as azathioprine or rituximab, also can help. As in hemolysis (breakdown of red blood cells) due to antibodies, thrombocytopenia can sometimes be relieved by splenectomy. The doctor will advise whether non-steroidal anti-inflammatory drugs (NSAIDs) can be used safely when thrombocytopenia is present.
Be sure to ask your doctor whether NSAIDs can be used safely when thrombocytopenia is present.
The Lupus Foundation of America would like to thank Michael Rosove, M.D., for this information.
is a Medical Oncologist in Los Angeles, CA and a Clinical Professor of Medicine at the University of California-Los Angeles, School of Medicine.