clinical features

Last reviewed 01/2018

General features include:

  • mucosal or skin bleeding:
    • commonly, epistaxis, oral bleeding, menorrhagia, purpura and petechiae
    • often longstanding in chronic disease
  • absence of systemic illness - afebrile
  • spleen and liver are usually not enlarged
  • fundal haemorrhage, persistent headache and other signs of raised intracranial pressure - particularly in adults
  • serious haemorrhage is rare in both acute and chronic ITP