Age: 11.0
Sex: F
Vaccine: TDAP
Symptoms: Red blood cell count decreased, Red blood cells urine positive, Urobilin urine absent, White blood cell count normal
Clinical narrative: In September my daughter started getting bruises on her arms and legs. Everytime we asked how she got them she would reply that she bumped into a table or something. Having 4 children bruising is not so strange. She is in Martial Arts and has contact in class. This started out less obvious and little by little got more obvious. By October I noticed one day that she had major bruises on her arms and I immediately called her Doctor but after talking to him and he telling me to bring her in to get blood work I realized that she had participated in a Martial Arts tournament and went up against a 3rd degree black belt and felt that is where she recieved the bruises so I called the Doctor back and he told me to watch them. Well after a week went by I noticed that she had more bruises and they were really getting bigger. I then called him and he told me to come in for blood work. I took her in on Nov 5th and they sent me to the hospital to get the bloodwork done but when I got to the hospital they had left for the day so I returned the next morning. I got a call later that the blood work did not turn out to bring her in again which I did before I could get home they called and had me bring her back in due to her plateletes being at a critical level 7000 and this has been going on every since and they are calling it ITP. Now although the Doctor really does not believe that the vaccination was the start of this disorder I believe whole heartly it is He kept asking me if she had gotten any kind of virus in the month of August I kept repeating no. My daughter is now in the 6th grade and has never missed a day of school in her life that is how much she gets virus's or sick. I know my children and I can count on one hand how many times this one has ever gotten anything and with my records at the pediatrician I do take my children to the doctor or call him when they are sick. My daughter has been on prednisone twice and Win Rho twice the first Iv medication only lasted about two weeks her plateletes continue to drop to a critical level. 02/07/07-records received and reviewed from PCP for DOS 11/10/06-2/5/07 DX: ITP Symptoms bruising. 02/13/07-records reviewed from hem/onc for DOS 02/01/07 DX: relapsing and remitting thrombocytopenia. Possibly since early September but documentation until early November. Looks like she is heading to have chronic IPT. Persistent low platelet counts. Bruising began in early September 2006, did not seek medical attention until first week in November. 11/8/06- platelets 7000 and on 11/10, 122000 and then on 11/10 79000. Child involved with martial arts. Began steroids.   Hospitalized on 1/13 received WinRho at that time platelets 9000.  Two nosebleed in November.   PE:WNL except for some petechiae on neck. Per 60 day follow up: Bruising, petechiae, low platelets, ITP. The brusiing started at the begining of Sept. 2006, we did not get a diagnosis immediately due to not knowing anything. It is now considered chronic with no cure. She has been hospitalized on several occassions due to platelets dropping to a critical count.