Case 61 – update 2

So time for another update!

Our patient has been started on oral iron for a iron deficiency anaemia.

Given that she only has some bruising and a slight petechial rash the decision has been made to monitor her, but not to start on any treatment. 

She is kept under close follow up and a repeat fbc a week later shows

Hb 119

Mcv 80

Plt 20

Wcc 9.0

Neuts 3.0

The patient and their parents have been given clear verbal and written advice to attend for review if any bleeding.

Does this platelet count change your management. In children how long does an episode of ITP usually take to resolve? What advice would you give to the patient and her family regarding daily activities and sports?

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