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Atypical presentation of immune thrombocytopenia (ITP) with multiple somatic complaints without bleeding manifestations

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Immune Thrombocytopenia (ITP) is a hematologic disorder characterized by immune mediated destruction of platelets leading to isolated thrombocytopenia. It presents as sudden onset of acute self-limiting episodes of bleeds which are usually minor but may present with intracranial hemorrhage. ITP is a clinical diagnosis of exclusion. No confirmatory diagnostic tests are available. Management depends on severity of bleeding rather than platelet counts. Here is a case report of a 16 years old female patient presenting with multiple somatic complaints and no history of bleeding manifestations with isolated thrombocytopenia and hematologic malignancy ruled out.


thrombocytopenia, persistent, chronic, viral infections, virus vaccinations, laboratory investigations, lymphadenopathy, hepatosplenomegaly, bone pains