04/03/2026
Bruises without trauma!
45yrs old female presented with gum bleeding while chewing betel leaves for 3days. At first she ignored later she developed spontaneous bruising and petechial rash over her both limbs and abdomen. She had no history of fever, wt loss, joint pain or recent drug intake.
She is diabetic and hypothyroid for 4years.
On examination:
Multiple petechiae and ecchymoses over both limbs, abdomen.
No lymphadenopathy.
No hepatosplenomegaly.
Vitals stable.
Investigations reveals:
Hemoglobin: 10.4 g/dL
WBC count: 8,910/cumm
*Platelet count: 3,500/cumm
🗨️What is your likely diagnosis?
🗨️ What is the first line treatment?
*Video taken with the permission of patient.
