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until 6 yr of age.When 6 mo old, the patient developed petechiae, episodes of epistaxis, and a low platelet count was noted (5000-5O OOO/i l).Immune-mediated thrombocytopenia was considered, and he was treated intermittently with steroids without improvement.Following splenectomy at age 5, his bleeding tendency disappeared, although his platelet counts were still low, ranging between
Ochs et al. (Fri,) studied this question.