Idiopathic Thrombocytopenic Purpura

Reduced platelet count characterizes idiopathic thrombocytopenic purpura or immune thrombocytopenic purpura despite normal bone marrow functions and the absence of other causes. Purple or red bruises and an increased bleeding tendency are the two unique clinical features of idiopathic thrombocytopenic purpura. In addition, petechiae in the hands and legs, nasal bleeding, bleeding from the gums, and menorrhagia are the associated symptoms. Steroids, intravenous immunoglobulin, platelet transfusion, thrombopoietin receptor agonists, and splenectomy are a few treatment modalities for idiopathic thrombocytopenic purpura.

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I am a 26-year-old girl with a history of idiopathic thrombocytopenic purpura and am taking medications for it. Can I get pregnant?

Query: Hello doctor,I am a 26-year-old girl who suffered from idiopathic thrombocytopenic purpura, three months ago. I was under treatment for the next three months with Corticosteroids and Imuran (Azathioprine). After three months doctor did not give me any treatment as my platelet count was normal. Now I...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I went through your query and understood your concern. The cause for your reduced platelet count was not clear. If no cause is found then it could be idiopathic thrombocytopenic purpura (ITP). A bone marrow aspiration study can be done to confirm it. This disease sho...  Read Full »

My son's platelet level is low after a high fever. What could be the reason for it?

Query: Hi, My son is seven years 11 months old baby and weighs 24 kilograms. Ten weeks back, he was sick with a high fever for three days. After three weeks from that, he got bruises and bleeding in his nose. They saw his platelet level was very low (2000) and identified as ITP (Idiopathic thrombocytopenic...  Read Full »

Dr. Mubashir Razzaq Khan

Answer: Hi, Welcome to ITP (idiopathic thrombocytopenic purpura) is the idiopathic (immune) mediated destruction of platelets. There is no defects or deficiency in platelet formation. It is frequently associated with a prior fever (most likely due to viral infections). Let us go with your qu...  Read Full »

How to improve my daughter's low platelet count?

Query: Hi doctor, My 12 year old daughter was fatigued and had blue blotches over her body. The doctor locally ordered blood tests, and the results showed low platelet count of 50000. They administered Cortisone of 30 mg a day for two weeks, and the count went up to 100000. The doctor reduced Cortisone to...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to Your child is having low platelet count and blue blotch over the body. The skin discoloration can be from low platelet as thrombocytopenia can lead mucosal bleeding. If it seems cyanotic patches on examination then cardiac, respiratory and vascular causes need ...  Read Full »

What is ITP?

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 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 »

My daughter was diagnosed with ITP earlier, and her complete blood count is normal, except for the platelets. Does she need a platelet transfusion?

Query: Hello doctor, My daughter had a complete blood count, which was normal except for platelet. She is asthmatic and has got a chest infection now, and she is receiving antibiotics. She has her period now. Two days ago, the platelet was 14. When she was a child, the case was confirmed as ITP, but she wa...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hello, Welcome to I read your query and can understand your concern. Rule out other causes of thrombocytopenia, like uremia, malaria, and dengue. I suggest you take a peripheral smear examination report and Ig M dengue testing. If no specific cause is found, ITP (idiopathic thromboc...  Read Full »

My 8-year-old son is diagnosed with a low platelet count. What to do?

Query: Hello doctor, My 8 year old son was diagnosed with a possible bone marrow failure during monitoring for low platelets when he was three years old. His biopsy showed areas of 20 % cellularity. Last year his counts were WBC 13.8, RBC 4.83, hemoglobin 13.5 g/dL, hematocrit 39.3, MCV 81.3, MCH 27.9, MC...  Read Full »

Dr. Goswami Parth Rajendragiri

Answer: Hi, Welcome to You had mentioned the history of bone marrow failure at three years of age, but the cause and workup done at that time are not mentioned here.Temporary viral infection like parvovirus can lead to temporary bone marrow suppression.In a child, if platelet count remains low ...  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 »

Dr. Babu Lal Meena

Answer: Hi, Welcome to 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 »

Please suggest treatment for an ITP patient suffering from an upset stomach and sore throat.

Query: Hi doctor, I am a 31-year-old male. I have stomach upset, shortness of breath, sore throat, chest pain, and tightness in chest for the past couple of months. I am an ITP patient. I have fluctuation in my platelet count between 400,000 to 600,000 for the past six months. Till now, I have consulted m...  Read Full »

Dr. Muhammad Zubayer Alam

Answer: Hi, Welcome to I understand your concern. According to the statement, you are suffering from stomach upset, shortness of breath, sore throat, chest pain, and tightness for the past few months. You are a known case of ITP (idiopathic thrombocytopenic purpura). According to the investig...  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 »

Dr. Shaikh Sadaf

Answer: Hello, Welcome to 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 »

Please give your feedback regarding my preventive health screening reports.

Query: Hello doctor, I am a 32 year old male. I recently went for a preventive health screening. I need your valuable feedback regarding my reports.  Read Full »

Dr. Sagar Ramesh Makode

Answer: Hello, Welcome to I have gone through your reports (attachment removed to protect patient identity). The only discrepancy seen is that the platelet count is borderline, although not totally abnormal. Rest of your reports are normal including chloride which is given in bold letters. Now...  Read Full »

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