Kim
I've had ITP with lupus for 20 year's. Both are autoimmune disease. You do not mention whether your platelet counts are also down. Was your splenectomy a success and you've experienced a remission of ITP symptoms? If you are also haveing joint pain along with fatigue, you may want to get tested for lupus as this can contribute to fatigue. Some hematologist's will acknowledge fatigue as a symtoms of ITP but most don't. My hematologist has always considered fatigue a symtom of ITP. Good luck and I hope you feel better soon.