Case presentation An 8-year-old boy presented to the clinic with a two-week history of thrombocytopenia. Three weeks before, he had an episode of epistaxis. In addition, he has been experiencing increased bruising over the last month. PMH : The patient’s past medical and surgical history indicated obstructive sleep apnea and recurrent ear infections for which he had a tonsillectomy and bilateral tympanostomy, respectively, with no excessive bleeding.
He had no family history of bleeding disorders or thrombocytopenia. Examination: WBC: 6500/μL Hemoglobin: 14.5 g/dL Platelets: 44,000/μL The patient’s physical examination and peripheral blood film were unremarkable except for thrombocytopenia with large platelets. *This patient case is from the Editorial team of Docplexus and is meant for educative purposes only. Source: American Society of Hematology Stay connected, the answer will be…
