Our previous in-vitro and in-vivo studies showed that heparin enhanced
murine and human megakaryocytopoiesis. 20 patients with chronic immun
e thrombocytopenic purpura were randomly divided into two groups and g
iven 10 mg per day of prednisone for 30 days, for haemostatic purposes
. One group received in addition heparin (1250 IU twice a day subcutan
eously for 30 days). From day 10, a significant increase in platelet c
ount was observed in eight of the ten patients treated with heparin (p
<0.05), with return to the initial value after heparin cessation in si
x of the responders. These data demonstrate the effectiveness of hepar
in and suggest its use or that of other related compounds for therapy
of chronic immune thrombocytopenic purpura.