A 2-year-and-6-month-old ...

A 2-year-and-6-month-old boy weighing 15 kg was brought by his mother with complaints of reddish spots on both limbs. Two weeks earlier, the child had a fever for three days, followed by red spots after the fever dropped, but they immediately disappeared within 24 hours after the fever appeared. Physical examination revealed petechiae that were not prominent to the touch on both limbs, with no organomegaly. There was no previous history of spontaneous bleeding. There is no family history of intractable bleeding, HIV, or other blood disorders. The child did not receive any thinning medication. Laboratory examination revealed hemoglobin, hematocrit, and leukocytes within normal limits but a decreased platelet count (15,000/m3) with a prolonged bleeding period. The patient was diagnosed with  ITP of mild degree. The patient received 10 cc/kg TC transfusion therapy, Prednisone 4 mg/kgBB/day orally or IV for 7 days, then tapering off in 7 days, or Prednisone 2 mg/kg/day orally for 21 days.