Article Text

other Versions

PDF
Is this immune thrombocytopenic purpura?
  1. Jecko Thachil (jeckothachil{at}yahoo.co.uk)
  1. Royal Liverpool University Hospital, United Kingdom
    1. Georgina W Hall (georgina.hall{at}paediatrics.ox.ac.uk)
    1. Children's Hospital, John Radcliffe Hospital, United Kingdom

      Abstract

      When a well child comes to Accident and Emergency (A & E) with a history of sudden onset bruising, purpura and petechiae, and is found to have an isolated severe thrombocytopenia, the diagnosis is usually obvious: acute Immune Thrombocytopenic Purpura (ITP). But, could something more sinister be going on? Is ITP the correct diagnosis?

      This article outlines the features that should worry a clinician, making them suspicious of an alternative diagnosis. Aware of the possible differential diagnoses the clinician can appropriately investigate and manage the child with ITP, and know when to refer to a paediatric haematologist for specialist help.

      • immune thrombocytopenic purpura
      • thrombocytopenia

      Statistics from Altmetric.com

      Request permissions

      If you wish to reuse any or all of this article please use the link below which will take you to the Copyright Clearance Center’s RightsLink service. You will be able to get a quick price and instant permission to reuse the content in many different ways.