Table 7.

Treatments of refractory immune thrombocytopenic purpura.

Abbreviations: CHOP, cyclophosphamide, adriamycin, vincristine, prednisone; VCR-IVIG-SM, VCR; intravenous gammaglobulin; SM, Solumedrol 
I. Promising treatments: 
    a. combination chemotherapy: CHOP-like, VCR-IVIG-SM (Table 6) 
    b. anti-CD40 Ligand 
    c. rituximab 
    d. ? thrombopoietin or thrombopoietin like substances 
    e. autologous bone marrow transplantation 
II. Treatments that have an apparent low likelihood of success when used alone in refractory patients: 
    a. Interleukin-11 (Neumega) 
    b. Anti-D 
    c. Interferon 
    d. Staph protein A columns 
    e. Plasmapheresis 
Abbreviations: CHOP, cyclophosphamide, adriamycin, vincristine, prednisone; VCR-IVIG-SM, VCR; intravenous gammaglobulin; SM, Solumedrol 
I. Promising treatments: 
    a. combination chemotherapy: CHOP-like, VCR-IVIG-SM (Table 6) 
    b. anti-CD40 Ligand 
    c. rituximab 
    d. ? thrombopoietin or thrombopoietin like substances 
    e. autologous bone marrow transplantation 
II. Treatments that have an apparent low likelihood of success when used alone in refractory patients: 
    a. Interleukin-11 (Neumega) 
    b. Anti-D 
    c. Interferon 
    d. Staph protein A columns 
    e. Plasmapheresis