Acute idiopathic thrombocytopenic purpura is characterized by purplish discoloration of the skin due to a decrease in the number of platelets. It usually occurs after a viral infection like chickenpox and is common in children between two to six years. In acute ITP, the symptoms are sudden in onset and go away on their own within six months.
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Query: Hi doctor, My nephew has been unwell since few days. Since two weeks, he has small blood patches on thigh, calves and ankles. Petechial rash and bruising are also present. The doctors have diagnosed him with ITP (idiopathic thrombocytopenic purpura). I am writing to you to get a second opinion. He ... Read Full »
Dr. Geetha Priyadarsini Kamminana
Answer: Hi,Welcome to icliniq.com. Isolated low platelet count with normal hemoglobin and CBC (complete blood count) usually is the key laboratory finding for ITP (idiopathic thrombocytopenic purpura) as there in this case. It is the diagnosis of exclusion however. I need few more details about his medica... Read Full »
What is causing these red dots all over child's body?
Query: Hello doctor, I have a 2 year old daughter. She is breaking out with red dots all over her body. They do not look like measles or chicken pox. She weighs 30 pounds and has no other symptoms. I have tried giving her a child allergy medication because I thought she might have developed an allergy to ... Read Full »
Answer: Hi, Welcome to icliniq.com. I need more information for a quality answer. The onset of symptoms, duration? any itching? associated fever or weight loss? history of jaundice? any relevant family history? The site of red spots? is it distributed to a specific area? because it can indicate e... Read Full »
I have a weird rash. Could it be related to my diabetes or fatty liver?
Query: Hi doctor,I am 31 years old. I was diagnosed with prediabetes at the age of 14. I did not focus much on it until in my 20s when I got diagnosed with actual diabetes with an Hba1c of 12 or 14. Eventually, I was put on insulin. My first orders were 10 units of Levemir at bedtime and to go up three uni... Read Full »
Answer: Hello, Welcome to icliniq.com. I just read your query, and from what you have attached (attachment removed to protect patient identity), it appears that these rashes are idiopathic thrombocytopenic purpura. These are usually acute and self-limiting and occur in women between 20 to 40 years of age... Read Full »
Are there abnormalities in my blood reports?
Query: Hello doctor,I got a blood test done this week. The investigations are as follows: Red cell distribution width is 11.4 %, platelets count is 130 thou/UI, mean platelet volume is 13.3 fL. Morphology remarks: Gaint platelets are seen, and small clumps of platelets are seen. Read Full »
Dr. Goswami Parth Rajendragiri
Answer: Hello, Welcome to icliniq.com. Let me tell you that there are abnormalities like high MPV (mean platelet volume) and the presence of giant platelets. This type of picture occurs when there is platelet destruction. So, the bone marrow is stimulated more and hence a lot of premature platelets get ... Read Full »
What to do if platelet count drops even after doing apheresis in a COVID patient?
Query: Hi doctor, My uncle got cured of COVID recently. There was a drop in platelets during his recovery, and apheresis was performed on him, by which the platelet count increased from 3000 to 51000 in four days. But now again it dropped to 12000. Can I know the reason? How much time will it take to cure?... Read Full »
Answer: Hello, Welcome to icliniq.com. I have gone through your query, and I can understand your concern. As mentioned in the query, after COVID, there has been a drop in platelet count. The reason for this could be: 1) ITP (idiopathic thrombocytopenic purpura) is due to immune-mediated destruct... Read Full »