മാഷ്

Immune thrombocytopenic purpura or Idiopathic thrombocytopenic purpura is one of the commonest hematological problems in pediatrics . Most of the cases resolve without any treatment .Major complications occur in one percent of cases. Our challenge is to exclude other serious disorders which may look like ITP ,pick up dangerous complications early and manage . There are guidelines for management of new cases subacute and chronic cases. Once in a while we come across cases which pose challenges in the diagnosis and management . One such a case now under treatment in our ICU is presented here for expert comments . Five year old boy was referred as a case of ITP one month back .Born out of non consanguinous marriage with no family history of excessive bleeding tendency . No significant bleeding during his vaccination teeth eruptions or minor falls . He developed ecchymotic patches over body and epistaxis. No joint or deep bleeds , no hemetemesis or malena , no evidence of CNS bleeds.