Idiopathic thrombocytopenia purport

Condition

• Immune destruction of platelets

Clinical features

• easy bruising
• epistaxis and menorrhagia common 
• no systemic illness
• splenomegaly rare
• isolated thrombocytopenia
• other blood cells normal
• normal physical examination 
• normal bone marrow with normal or increased megakaryocytic

Murtagh's triad

• bruising + oral bleeding + epistaxis = ITP

Management

• no treatment 
• avoid contact sports
• watch and wait
• likely to resolve spontaneously 
• wide range of practice within Australia. At Westmead children's hospital, they are more pro-watch and wait and avoid treatment