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A child with bruising
Author(s) -
Macfarlane S,
Teague L
Publication year - 1998
Publication title -
acta pædiatrica
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.772
H-Index - 115
eISSN - 1651-2227
pISSN - 0803-5253
DOI - 10.1111/j.1651-2227.1998.tb01560.x
Subject(s) - citation , medicine , child health , library science , computer science , pediatrics
A 10-y-old girl presented to her family doctor with a 2-week history of headaches, epistaxes, reduction in exercise tolerance and easy bruising. Anorexia had been present for a week and blurred vision for 2 d. A full blood count showed Hb 73 g/l, platelets 7 × 10/l and white cell count of 386.8× 10/l. She was admitted to hospital. At admission she was found to have numerous bruises and petechial haemorrhages. She was pale but had no significant palpable lymphadenopathy. The spleen was palpable 2 cm above the level of the umbilicus. What is the differential diagnosis?