[Idiopathic thrombocytopenic purpura in children hospitalized in the children's ward of the Regional Hospital in Dabrowa Tarnowska in the years 1984-1994].

The diagnostic procedures and therapeutic management of idiopathic thrombocytopenic purpura in children require that the practising physician should make a decision about performing the bone marrow examination and administration of steroids or immunoglobulins at the time of disease recognition. In the paper controversies on that subject found in the literature are presented as well as an analysis is made of the clinical picture, diagnostics and treatment in children suffering from ITP hospitalized on the children's ward of the Regional Hospital in Dabrowa Tarnowska in the years 1984-1994. Many authors believe that on account of considerable percentage of spontaneous recoveries, except restriction of the child's activity no medication is necessary. Other think that theoretical circumstances of the corticoids and immunoglobulins action mechanism justify administration of these preparations with the aim of preventing internal bleedings. In the studied matter it has been shown that, as a rule, all hospitalized children are given steroids or immunoglobulins, which may result from selection of the heaviest cases.