Abstract
Introduction : When the immune system incorrectly attacks platelets, idiopathic thrombocytopenic purpura (ITP)
might develop. It can also develop after viral infection in youngsters; it may be persistent in adulthood. Platelets are
blood cells that assist in the clotting process. Easy bruising, bleeding gums, and internal bleeding can all be
symptoms of a low platelet count.
Main symptoms and clinical findings: A female 35 years old was admitted to AVBRH with chief complaints of
prolonged heavy bleeding, Reddish-purple patches on the lower legs, some as small as a pinhead, weakness,
lethargy, itching fever and abdominal pain.
Main diagnosis, therapeutic interventions, and outcomes: A 35 years old femalewas admitted to Tertiary Care
hospital with chief complaints of prolonged heavy bleeding, Reddish-purple patches on the lower legs, some as
small as a pinhead, weakness, lethargy and fever, and abdominal pain. She came for treatment, and her treatment
started at the time of injectable admission pan of 40 mg, antiemetics, I. V fluid DNS, D5 began to. Advised to check
vital signs and maintain records and observation of spots on the skin.Blood test; Hb 10.6% , MCV 62.5%,MCH
19.6%Total RBC 5.38,Total WBC 5700,Total platelet count 40,000Monocytes 05,Granulocytes 80,Lymphocytes
14.Inj. ceftriaxone 500 mg BD, inj. Pan 40 mg, BD, inj. Romiplostim started.As far as the patient treatment is
ongoing and the patient prognosis is better
Conclusion : Idiopathic thrombocytopenic purpura is a rare condition primarily in children found in adults age and
uncommon in youngsters. Patient with HIV infection, hepatitis and viral infection has more likely to get this illness.
In this case, the patient is stable and got the proper treatment overall, and his condition is better than at the time of
admission.