Is the large abdominal bruise a cause for concern?
Patient: 8 yr old son has Chronic ITP (platelet count last month was 59,000), and he has a bruise on his lower left side of his abdomen/hip area. It is large (about 2 1/2 in by 1inch). Could this be a cause for concern due to the location or just simply another symptom of his ITP? No injury occurred. Doctor: hi..it is a symptom of ITP. the site of ecchymosis in your child is not a concern. in ITP bleeding occurs spontaneously without trauma.currently there are many new modalities of medical treatment available(eltrombopag and romiplostim, are available to patients with chronic ITP). if not responded since he is 8year old you can go for spleenectomy.