Primary Chronic Immune Hrombocytopenic Purpura with Large Spleen- A Rare Presentation
Author(s): Harivasudevan S
Chronic immune thrombocytopenic purpura (ITP) is defined as immune thrombocytopenic purpura with platelets less than 1 lakh/cu.mm lasting for more than 12 months. 20 % of the children presenting with acute ITP evolves into chronic ITP. Usually, patients with ITP will not be having any hepato/splenomegaly or only tip of the spleen would be palpable in around 5% of the cases. In this case the size of the spleen is bigger than usual presentations of ITP.