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P583 An uncommon cause of spontaneous ecchymosis in children: acute idiopathic thrombocytopenic purpura
  1. Çiğdem El,
  2. Mehmet Emin Çelikkaya
  1. Mustafa Kemal University, Hatay, Turkey

Abstract

Introduction The most common cause of acute onset thrombocytopenia in childhood is idiopathic thrombocytopenic purpura (ITP). The disease may seen in previously healthy children with only thrombocytopenia or with petechiae, purpura, ecchymosis and mucosal hemorrhage without clinical evidence. In this study, we aimed to evaluate the clinical presentation of ITP.

Methods Patients with acute ITP diagnosed between 2017 and 2018 in Mustafa Kemal University, Research Hospital, Department of Child Health and Diseases were retrospectively studied. Patients were evaluated according to age, gender, frequent seasons, referral complaints, history of previous infection and vaccination and ethnic group.

Results The clinical findings of the patients were as follows: petechia 100% (n: 155), purpura 100% (n: 155), ecchymosis 100% (n: 155), epistaxis 11,61 (n: 18), gingival bleeding 9,67: 15), gastrointestinal bleeding was 1.93% (n: 3) and hematuria was 1.29% (n: 2). bone marrow biopsy was performed a patient with hepatosplenomegaly and lymphadenopathy and subsequent EBV infection diagnosed and also on 2 patients whose thrombocytopenia continued more than 6 months. Two patients with long-standing thrombocytopenia of 6 months get a diagnosis of chronic ITP.

Discussion and conclusion ITP is a disease that worries families and physicians because of clinical findings like leukemia and It is not rare cause of thrombocytopenia. Therefore, findings of thrombocytopenia; should be evaluated together with detailed history and careful physical examination and acute ITP should be kept in mind.

  • Child
  • ecchymosis
  • petechiae
  • thrombocytopenia

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