Hello and welcome to HCM,
Appearance of peteichae indicates low platelet counts.ITP
is one of the causes of low platelet count, however low counts can also occur in number of other conditions.
Viral infections are one of them.
Are the hot flushes associated with rash? Is there any history of fever? Fever is usually associated with palpitations.
Presence of rash is indicative of viral infection.
Get complete hemogram done including platelet counts.
There are certain clues on the peripheral blood examination which indicate various infections.
Consult your hematologist
Thanks and take care
Dr Shailja P Wahal