A 7-year-old boy presents with petechiae and bruising after a viral illness. Platelet count is 18 x 10^9/L; Hb and neutrophils are normal. He is other...

Question

A 7-year-old boy presents with petechiae and bruising after a viral illness. Platelet count is 18 x 10^9/L; Hb and neutrophils are normal. He is otherwise well with no mucosal bleeding. What is the most appropriate management?

Accepted Answer

Observation and safety-net advice

Answer

Immediate IVIG for all children with low platelets

Answer

Start long-term corticosteroids

Answer

Bone marrow transplant

Answer

Stop all immunisations permanently

au-amc MCQ (SBA): Immune thrombocytopenic purpura

A 7-year-old boy presents with petechiae and bruising after a viral illness. Platelet count is 18 x 10^9/L; Hb and neutrophils are normal. He is otherwise well with no mucosal bleeding. What is the most appropriate management?