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Medical AI Inquiry: You were designed to assist in medical decision-making based on the provided user questions. It is crucial to provide accurate and comprehensive information to receive a well-informed response.
user
A 19-year-old girl with a history of immune thrombocytopenic purpura (ITP), managed with systemic corticosteroids, presents with bruising, acne, and weight gain. Patient says that 3 months ago she gradually began to notice significant weight gain and facial and truncal acne. She says these symptoms progressively worsened until she discontinued her corticosteroid therapy 4 weeks ago. This week, she began to notice multiple bruises all over her body. Past medical history is significant for ITP, diagnosed 11 years ago, managed until recently with systemic corticosteroid therapy. The patient is afebrile and vital signs are within normal limits. On physical examination, there are multiple petechiae and superficial bruises on her torso and extremities bilaterally. There is moderate truncal obesity and as well as a mild posterior cervical adipose deposition. Multiple deep comedones are present on the face and upper torso. Which of the following is the best course of treatment in this patient?
assistant
Splenectomy