[Initial management of immune thrombocytopenia]

Immune thrombocytopenia (ITP) is one of the most common causes of thrombocytopenia. The diagnosis is established when platelet counts are consistently below 100 × 109/L, after excluding alternative etiologies through a targeted laboratory workup. However, the initial evaluation should always be adapted to the clinical context, taking rare causes into consideration. Establishing an accurate diagnosis is essential, as it allows for the prompt initiation of appropriate treatment tailored to the individual situation and facilitates long-term management. In this article, the diagnostic workup and the initial therapeutic management of ITP are discussed.