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Pediatrics Education and Research

Volume  5, Issue 2, May-Aug 2017, Pages 101-103

 

Case Report

Intracranial Haemorrhage in Childhood ITP: An Unfortunate Twist of Fate
Chaitanya Pendyala*, Alpana Kondekar**, Purvi Kadakia***, Radha Ghildiyal****, Richa*
*Resident (Third year) **Associate Professor ***Assistant Professor ****Professor, Department of Pediatrics, TN Medical College and BYL Nair Hospital, Mumbai Central, Mumbai 400008, India.
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DOI: https://dx.doi.org/10.21088/per.2321.1644.5217.19

Abstract

Immune thrombocytopenic purpura (ITP) is a clinical syndrome in which a decreased number of circulating platelets (thrombocytopenia) manifests as a bleeding tendency, easy bruising (purpura), or extravasation of blood from capillaries into skin and mucous membranes (petechiae). Although most cases of acute ITP, particularly in children, are mild and selflimited, intracranial hemorrhage may occur when the platelet count drops below 10 × 109/L (<10 × 103/µL); this occurs in 0.51% of children, and half of these cases are fatal. Intracranial haemorrhage is a rare but life threatening complication of childhood Immune Thrombocytopenic Purpura. Aggressive multi – modality treatment is warranted in such cases.

Keyword: Immune thrombocytopenic purpura (ITP); Intracranial Haemorrhage. 


Corresponding Author : Chaitanya Pendyala, Department of Pediatrics, 1st Floor, College Building, TN Medical College and BYL Nair Charitable Hospital, Dr. AL Nair Road, Mumbai Central, Mumbai400008.