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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
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Ochs et al. (1980) studied this question.
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