The case starts just below here! – click https://teamhaem.wordpress.com/2013/06/16/case-11/

Further blood tests reveal normal B12 and folate.  Ferritin is low at 9ug/L.  Clotting screen is normal.  There are no signs of major bleeding.

HIV, hepatitis B/C and an autoimmune screen have been sent.  The patient is reluctant to provide a stool sample for Helicobacter Pylori.

The current working diagnosis is immune thrombocytopenic purpura (ITP) with iron deficiency.

Questions:

• Any further tests?  Do you perform a bone marrow?
• What is your management now?
• Do you discharge the patient home?
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Please note – all cases on TeamHaem are entirely fictional to protect patient confidentiality.