A patient has ecchymosis and petechiae all over the body with no hepato- splenomegaly. All are true except

A patient has ecchymosis and petechiae
all over the body with no hepato-
splenomegaly. All are true except
a) Increased megakaryocytes in bone narrow
b) Bleeding into the joints
c) Decreased platelet in blood
d) Disease resolves itself in 80% of Patients in 2-6
Correct Answer - B
Ans. is ‘b’ i.e., Bleeding into the joints
Features of Acute and Chronic Idiopathic Thrombocytopenic
Purpura
Feature Acute ITP Chronic ITP
Peak age of
incidence
Children 2-6
year
Adults, 20-40
year
Sex predilection None 3:1 female to
male
Antecedent
infection
Common 1-2
week Unusual
Onset of
bleeding Before Abrupt Insidious
Hemorrhagic
bullae in mouth
Present in
severe cases Usually absent
Platelet count < 20000/4 3000-80000/8L
Eosinophilia and
yphocytosis Common Rare
Spontaneous
remission
Occurs in
80% cases
Months or years
Uncommon