Idiopathic thrombocytopenic purpura (ITP) also called as Immune thrombocytopenic purpura is an acquired autoimmune disorder in which auto-antibodies are made against platelets leading to increased platelet destruction. Immune thrombocytopenia, increased splenic sequestration, infections such as dengue fever, decreased bone marrow production and adverse drug reactions are the major causes of ITP. Patients with ITP often present with clinical manifestations of bruising and bleeding.

Albeit these manifestations are detected most frequently on the skin; on the lower extremities, the oral cavity also may exhibit signs of petechiae, purpura and bleeding. Haemorrhagic bullae of mucous membranes in the oral cavity can indicate the existence of severe thrombocytopenia. We report two female cases presented with oral features of petechial haemorrhage, pigmented brownish black macules with…