I recenlty came across an opinion that since higly active anti-retroviral therapy came about it is not necessary medically to treat patients with infusions or injections except in rare cases where the platelet count is low or when there is active bleeding. Additionally, when there is this rare case where treatment of thrombocyteponia is appropriate, infusions or injections of medications such as gamma globulin, immune globulin, epoetin alfa etc. are not routinely used or medically necesssary. Can you please point me in the direction of an expert who can discuss this as other information I have says that infusion or injection treatment can be medically necessary and effective?

Effective HIV treatment has decreased but not elimiinated the need in some cases for other treatments for thrombocytopenia. In our clinic we have several pxs (out of > 1000) that intermittently receive corticosteroids or gamma globulin infusions for very low platelet counts (often low platelet counts fairly well tolerated). Need to try and avoid trauma and drugs that can aggravate anti-clotting properties such as aspirin. KH