Can you help with my daughter's low platelet count?

Hi,

Welcome to icliniq.com.

1. 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.
2. If it seems cyanotic patches on examination then cardiac, respiratory and vascular causes need to be searched for.
3. In your child, the low platelet could be commonly due to immune thrombocytopenic purpura. Other causes include chronic infection, blood septicemia, uremia, TTP (thrombotic thrombocytopenic purpura), drugs, etc.
4. According to examination, further workup will be planned like if needed to confirm ITP, then do bone marrow examination study.
5. As with steroid, the count improved previously. So, it seems most likely to be ITP. For ITP, steroid and intravenous immunoglobulin are the mainstay therapy with or without platelet transfusion.
6. Consult nearby physician or hematologist for examination and accordingly plan the management.