A 3-year-old girl presents with non-blanching petechiae on her legs after a viral illness. She is afebrile, well-appearing and has no mucosal bleeding...

Question

A 3-year-old girl presents with non-blanching petechiae on her legs after a viral illness. She is afebrile, well-appearing and has no mucosal bleeding. Platelet count is 18 x 10^9/L, haemoglobin and neutrophils are normal. According to paediatric haematology guidance, what is the most appropriate initial management?

Accepted Answer

Observe without treatment and give safety-net advice regarding mucosal bleeding or head injury

Answer

Start high-dose intravenous immunoglobulin immediately

Answer

Start high-dose corticosteroids and admit to ICU

Answer

Transfuse platelet concentrates to maintain platelets above 100 x 10^9/L

Answer

Start dual antiplatelet therapy to prevent thrombosis

au-amc MCQ (SBA): Immune thrombocytopenia in children