<s>[INST] Hi, I am Pratik 31yr old male from India. I have Acute ITP. The first time occured in 2007 and I took Prednisone for 6 months. The counts remained normal for 3 years and recently I had a re-episode of ITP. Within 3 days of hospitalisation and Prednisone (Methyl) given thru glucose transfusion the count came to Normal. Now I am again on Prednisone for the last 3 months and count is beyond 300000....what are the chances of re occurence or how can I avoid this condition. I am a little worried. Please advice [/INST] Hi Ratio, ITP, especially in adults can have a chronic course, sometimes persistent, and a recurring course with varying frequencies in others. The steroids have to slowly tapered and stopped, and later you have regularly monitored your platelet count to watch for recurrence. However, don't get paranoid and a platelet count more than 30,000 is compatible with a normal, albeit disciplined lifestyle as long as your bleeding symptoms are in control. </s>