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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Exteme Bruises, Very Small Red Spots On Lower Extremities. History Of Diagnsis Of ITP And Spleen Removal In Childhood. Remission?

Hi Dr.
When I was 6 ( almost 40yrs ago) I was diagnosed with ITP. The Dr. caring for me at that time removed my spleen and told my parents I was in remission. My concern now is that I am starting to bruise extremly easy and starting to get very small red spots on my lower extremities (several). I'm worried that I may be out of remission. Is this something I should be concerned with? Should I see my local Dr?
Thank you,
Concerned in Kansas
Tue, 16 Jul 2013
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Pediatrician,  's  Response
Hi,

Thank you for your query on Healthcare Magic.

Getting bruises and red spots may be a sign of an underlying bleeding into the skin which is seen in bleeding problems such as idiopathic thrombocytopenia.

You need investigations such as complete blood picture, platelet count, and other clotting studies.

Hence I advise you to consult the doctor for physical examination and investigations.

Hope I have answered your query.

Regards.
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Pediatrician,  Dr. Y V Siva Sankara Murty's  Response
Hi,

Thanks for writing to health care magic.

If you have easy bruising and those petechiae you should see your doctor at the earliest.

After physical examination your doctor will get investigations like platelet count, PT, APTT etc depending on the physical examination findings.

Further management depends on the investigation reports.

Continue to ask further queries as required.
Hope this helps.
Take care.
Dr Y V Siva Sankara Murty
M.D.(Pediatrics)
Associate Professor of Pediatrics
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Exteme Bruises, Very Small Red Spots On Lower Extremities. History Of Diagnsis Of ITP And Spleen Removal In Childhood. Remission?

Hi, Thank you for your query on Healthcare Magic. Getting bruises and red spots may be a sign of an underlying bleeding into the skin which is seen in bleeding problems such as idiopathic thrombocytopenia. You need investigations such as complete blood picture, platelet count, and other clotting studies. Hence I advise you to consult the doctor for physical examination and investigations. Hope I have answered your query. Regards.