Thrombocytopenia (throm-buh-sye-tuh-PEE-nee-uh) is when there are fewer than normal
platelets in the bloodstream. Platelets are tiny colorless cells in the blood
that help the blood clot. Like all blood cells, platelets are made in the bone marrow
(the spongy inner part of bones).
What Are the Signs & Symptoms of Thrombocytopenia?
A child with a platelet count that is only a little low may not have any symptoms.
But if the count drops low enough, a child might have one or more of these problems:
bleeding from minor wounds or nosebleeds
that's hard to stop
small red or purple spots in the skin called petechiae (puh-TEEK-ee-uh or puh-TEEK-ee-eye)
large dark spots that can be felt under the skin called purpura (PURR-pyuh-ruh
If thrombocytopenia is diagnosed, more tests are done to figure out what's causing
it. The tests needed depend on the child's
, the exam results, and what the blood test shows.
Sometimes, doctors order a biopsy
to get a sample of bone marrow for testing and to check under a microscope.
How Is Thrombocytopenia Treated?
The treatment for thrombocytopenia depends on:
what's causing it
how low the platelet count is
whether or not there is bleeding
Sometimes no treatment is needed and the thrombocytopenia clears up on its own.
But some types need medical treatment to raise the platelet count to a safer level
and to treat the underlying cause.
Thrombocytopenia is usually treated by a
, a doctor who specializes in diagnosing and treating blood disorders.
What Else Should I Know?
Most of the time, thrombocytopenia either goes away on its own or can be treated
successfully. But children with a low platelet count should take care to avoid injuries,
especially to the head, because of the risk of bleeding.
If your child has thrombocytopenia, the doctor will tell you which activities are
safe and which to avoid. Your child also shouldn't take medicines that contain ibuprofen
(such as Motrin or Advil) or aspirin because these can increase the risk of bleeding.