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Suggest Treatment For Petechiae All Over Body

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Posted on Tue, 22 Dec 2015
Question: Hi there. My 1 year old son has petehiae that are covering his entire body. Primarily on his face but they are on his torso, extremities, and buttock. There are thousands of them and they are TINY! They all stared out at reddish pink and most have turned a brownish color but are not fading away. His does have some new ones that are appearing that are the red color as well. He had a CBC 2 weeks ago and all levels were normal. ER pediatric doctor said it was likely a virus and they petechia would disappear in a few days. 2 weeks later they're not going away so my pediatrician ordered a STAT CBC w/ diff. These results also came back completely normal. My son shows no other symptoms. No fever, no loss of appetitive.... Nothing abnormal. The petehiae are prevalent and noticeable. I'm concerned but doctors don't seem to be due to the normal lab values. Where do I go from here? Why aren't these petehiae going away? Please help!
doctor
Answered by Dr. Deepak Kishore Kaltari (2 hours later)
Brief Answer:
There is no cause for concern

Detailed Answer:

Hi
Welcome to Healthcare-Magic
Greetings of the day

Dear Ms


Normal complete blood count including normal platelet count and absence of any symptoms is very reassuring.

In the absence of any symptoms especially fever is very reassuring and there is no cause for concern. I would agree with your doctors.

it would be very helpful if you could provide the clinical photograph of skin lesion for further assessment. you can either upload it in upload report or alternatively mail to YYYY@YYYY with subject line being "Attention Dr Deepak "

Awaiting your response

Take care

Best Regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Raju A.T
doctor
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Follow up: Dr. Deepak Kishore Kaltari (42 hours later)
Hi there and thank you for your response. I will send a picture tonight. I guess my main concern now is why arent the petechiae disappearing? Normal platelett count, normal hgb, normal wbc count but little tiny pin prick sized spots still cover him all over. Why would these disappear on others and not on him? This is why im still not understanding things. I an of course relieved to hear that 2 normal CBC in a row indicates no need for concern but how long should i allow him to be covered in petechiae before I worry?
doctor
Answered by Dr. Deepak Kishore Kaltari (34 hours later)
Brief Answer:
Have not received any pictures

Detailed Answer:
Dear Ms

I have not received any photographs, you can either upload it on upload reports or alternatively mail to YYYY@YYYY with subject line being "Attention Dr Deepak"

Thanks

Best Regards
Dr Deepak
Above answer was peer-reviewed by : Dr. Prasad
doctor
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Follow up: Dr. Deepak Kishore Kaltari (12 hours later)
I am unable to get a photo that really shows the petechiae well since theyre very small and a light brown color. However, 3 physicians now have confirmed that it is in fact petechiae. However, with 2 CBC panels drawn 2 weeks apart are both completely normal then im hoping all is ok. As long as i can rule out leukemia then i feel better. Do yoh feel with the knowledge I've given you thaf we can rule out leukemia? Platelets, WBC, and RBC are normal.
doctor
Answered by Dr. Deepak Kishore Kaltari (37 hours later)
Brief Answer:
There is no cause for concern

Detailed Answer:
Dear ms

Leukemia is usually associated with altered Blood count, if the CBC is normal on multiple occasion then its unlikley to be leukemia. rest be assured there is no cause for concern.

Wishing you and your family a very happy and healthy life


Take Care

Best Regards
Dr Deepak
Note: For further queries related to your child health, Talk to a Pediatrician. Click here to Book a Consultation.

Above answer was peer-reviewed by : Dr. Yogesh D
doctor
Answered by
Dr.
Dr. Deepak Kishore Kaltari

General Surgeon

Practicing since :2002

Answered : 3195 Questions

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Suggest Treatment For Petechiae All Over Body

Brief Answer: There is no cause for concern Detailed Answer: Hi Welcome to Healthcare-Magic Greetings of the day Dear Ms Normal complete blood count including normal platelet count and absence of any symptoms is very reassuring. In the absence of any symptoms especially fever is very reassuring and there is no cause for concern. I would agree with your doctors. it would be very helpful if you could provide the clinical photograph of skin lesion for further assessment. you can either upload it in upload report or alternatively mail to YYYY@YYYY with subject line being "Attention Dr Deepak " Awaiting your response Take care Best Regards Dr Deepak