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

The following is an actual conversation between an iCliniq user and a doctor that has been reviewed and published as a Premium Q&A.

Medically reviewed by

iCliniq medical review team

Published At March 14, 2017
Reviewed AtDecember 26, 2023

Patient's 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 a 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 15 g a day. She felt fatigued again, and when we conducted the test, the platelet went back down to 50000. They have no answers. Can you help?


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.

Same symptoms don't mean you have the same problem. Consult a doctor now!

Dr. Goswami Parth Rajendragiri
Dr. Goswami Parth Rajendragiri


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