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Published on: August 18, 2015
Thrombosis in children: current perspective and distinct challenges
Matthew W Richardson1, Geoffrey A Allen, Paul E Monahan
1Department of Pediatrics, University of North Carolina at Chapel Hill 27599, USA.
Insights
Childhood thrombosis is increasing, necessitating specialized care. Current treatments extrapolated from adults are often inadequate, highlighting the need for pediatric-specific approaches to improve outcomes for pediatric thromboembolic events.
Area of Science:
- Pediatric Medicine
- Hematology
- Vascular Biology
Background:
- Increasing incidence of thrombosis in children.
- Advances in diagnostic imaging improve clot detection.
- Improved supportive care increases survival with thromboembolic risks.
Purpose of the Study:
- Review recent insights into pediatric thrombosis.
- Identify challenges in diagnosing and treating childhood thromboembolic events.
- Highlight the need for pediatric-specific treatment strategies.
Main Methods:
- Review of current literature on pediatric thrombosis.
- Analysis of diagnostic and therapeutic challenges.
- Discussion of unique aspects of pediatric thromboembolism.
Main Results:
- Existing treatment strategies extrapolated from adults present diagnostic and therapeutic pitfalls.
- Greater awareness of childhood thrombosis due to improved imaging and supportive care.
- Lack of pediatric-specific data necessitates a review of unique issues.
Conclusions:
- Pediatric thrombosis requires specialized understanding and management.
- Current adult-based treatment approaches are insufficient for children.
- Further research and pediatric-focused strategies are crucial for improving outcomes.
Abstract:
Coincident with a true increase in the incidence of thrombosis in childhood has come an appreciation of the impact of thromboembolic events upon children. In part, the greater awareness of childhood thrombosis reflects improved diagnostic imaging, which allows more sensitive identification of clots in infants and children. At the same time, advances in supportive care have meant that more children are being exposed to, surviving and living with thromboembolic risk factors and complications than previously. Because data regarding pediatric thrombosis have been lacking, treatment strategies have been extrapolated from experience in adults. This approach, however, results in diagnostic and therapeutic pitfalls. An understanding of issues unique to pediatric thrombosis is required; recent insights and the ongoing challenges are reviewed.
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