Clinical features
General features include:
- mucosal or skin bleeding:
- commonly, epistaxis, oral bleeding, menorrhagia, purpura and petechiae
- often longstanding in chronic disease
- absence of systemic illness - afebrile
- spleen and liver are usually not enlarged
- fundal haemorrhage, persistent headache and other signs of raised intracranial pressure - particularly in adults
- serious haemorrhage is rare in both acute and chronic ITP
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