CLINICAL PRESENTATIONS IN IMMUNE THROMBOCYTOPENIC PURPURA
Abstract
Background: Thrombocytopenia is an important cause of mucocutanaeous bleeding in adult andpaediatric patients. Immune thrombocytopenia is one of the common causes of thrombocytopenia. Itsclinical presentations vary from patient to patient, not studied in our area previously. The presentstudy was planned to see the frequency of clinical presentations of Immune ThrombocytopenicPurpura (ITP) in our patients. Methods: This prospective study was conducted on 125 patients withITP, diagnosed by exclusion of secondary causes of thrombocytopenia. Bone marrow examinationwas performed on all the patients. Results: Bruising, epistaxis and gum bleeding were thecommonest clinical presentations in adults and children. Bleeding was more severe in acute cases.Increased menstrual bleeding was seen in female patients. Conclusion: Bruising, epistaxis and gumbleeding are the commonest clinical presentations of ITP. Our results are not much different fromthose of the other studies conducted in Pakistan.Keywords: Thrombocytopenia, Immune thrombocytopenic purpura, mucocutanaeous bleedingReferences
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