Talk:Keeth Smart

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ITP

In April 2008, Smart suffered from a blood disease called Idiopathic thrombocytopenic purpura which he is thought to have caught from food whilst in Africa. With treatment, he was cured a few weeks before competing in Beijing.

There is no cure for ITP. It can only be controlled.

Also, there is no evidence that you can "catch" ITP from anything. The I in ITP means idiopathic, which term describes medical conditions for which there is no known or apparent cause. Perhaps the individual who put that blurb into this article should carefully read the ITP article and then come back here and revise his/her prose.

Bigdumbdinosaur (talk) 04:56, 27 November 2009 (UTC)[reply]

Since posting the above I was able to read up on what actually happened to Smart. He had developed onyalai, which has some resemblance to ITP, but is an acute form of thrombocytopenia with a different pathogenesis. Here is some online remarks about the ailment:

6.2 Onyalai, clinical aspects

The disease differs clinically, epidemiologically and immunologically from idiopathic thrombocytopenic purpura (ITP) (emphasis added). The age of onset varies from 6 months to 70 years with a peak incidence between 11 and 20 years. It is an acute disease, characterised by the formation of haemorrhagic vesicles and blisters on the palatal and buccal mucous membranes, together with severe thrombocytopenia. Sometimes, haemorrhagic blebs do appear on the skin, including on the soles of the feet. The general condition tends to be good and there are no signs of a constitutional disorder. This acquired form of thrombocytopenic purpura can lead to haematuria and melena. Epistaxis, petechiae and ecchymoses are common, as are subconjunctival bleeding and menorrhagia. The median duration of bleeding is about 8 days, but recurrent bleeding episodes are common. About 80% of cases will have chronic thrombocytopenia with a risk of intermittent attacks of acute haemorrhage. Haemorrhage from ruptured bullae, epistaxis or gastrointestinal bleeding can be severe and may cause shock and even death

It appears that onyalai can be the result of eating tainted food, although there's little evidence to support this theory at this time. Being acute, onyalai can be reversed with suitable therapy in most cases, which would explain Smart's recovery in time to compete in the Olympics. Summed up, Smart did not develop ITP.

Bigdumbdinosaur (talk) 05:01, 5 April 2010 (UTC)[reply]

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