A 6-year-old boy presents to the clinic with a two-week history of thrombocytopenia. He had an episode of epistaxis three weeks prior and has been experiencing increased bruising over the last month. The patient’s past medical and surgical history is significant for obstructive sleep apnea and recurrent ear infections for which he had a tonsillectomy and bilateral tympanostomy, respectively, with no excessive bleeding. There is no family history of bleeding disorders or thrombocytopenia.
Laboratory investigations: WBC 6500/μL (4000-11,000/μL) Hemoglobin 14.5 g/dL (13.5-17.5 g/dL) Platelets 44,000/μL (150,000-400,000/μL) The patient’s physical examination and peripheral blood film are unremarkable with the exception of thrombocytopenia with large platelets. What could be the most appropriate treatment for this patient? *This case is from Docplexus editorial team for educative purpose…
