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Medicine General 496937f2

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
High-Yield Explanation
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

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