Tory to other treatments (ten of them having relapsed following splenectomy), nine responded to tamatinib and six achieved platelet counts greater than 100,000. [28] [edit] epidemiology a normal platelet count is considered to be in the range of 150,000–450,000 per microlitre (î¼l) of blood for most healthy individuals. is generic viagra available over the counter   hence one may be considered thrombocytopenic below that range, although the threshold for a diagnosis of itp is not tied to any specific number. is generic viagra available over the counter The incidence of itp is estimated at 50–100 new cases per million per year, with children accounting for half of that amount.   at least 70 percent of childhood cases will end up in remission within six months, even without treatment. viagra without a doctor prescription [29] [30] [31]   moreover, a third of the remaining chronic cases will usually remit during follow-up observation, and another third will end up with only mild thrombocytopenia (defined as a platelet count above 50,000). cheap viagra online [29] itp is usually chronic in adults [32] and the probability of durable remission is 20–40 percent. discount viagra lowest prices [13]   the male to female ratio in the adult group varies from 1:1. generic viagra online 2 to 1. 7 in most age ranges (childhood cases are roughly equal for both genders) and the median age of adults at the diagnosis is 56–60. generic viagra good brand [9]   the ratio between male and female adult cases tends to widen with age.   in the usa, the adult chronic population is thought to be approximately 60,000—with women outnumbering men approximately 2 to 1, which has resulted in itp being designated an orphan disease. [33] the mortality rate due to chronic itp varies but tends to be higher relative to the general population for any age range.   in a study conducted in great britain, it was noted that itp causes an approximately 60 percent higher rate of mortality compared to gender- and age-matched subjects without itp.   this increased risk of death with itp is largely concentrated in the middle-aged and elderly.   ninety-six percent of reported itp-related deaths were individuals 45 years or older. viagra online without prescription   no significant difference was noted in the rate of survival between males and females. viagra for sale [34] [edit] history after initial reports by the portuguese. generic viagra canada