طفل عمره ٥ سنوات عنده نزيف لثة وكدمات منتشرة ونقاط حمراء على الجلد ظهرت بعد زكام قبل أسبوعين، وحالته العامة جيدة. الصفائح ١٢ ألف، والهيموغلوبين وكريات الدم البيضاء طبيعية. ما الأرجح؟

A 5-year-old has gum bleeding, widespread bruises and petechiae two weeks after a cold, and otherwise looks well. Platelets 12,000 with normal Hb and white cells. What is most likely?

1. Immune thrombocytopenia
2. Vitamin C deficiency
3. Acute leukaemia
4. Inherited haemophilia

Answer: A) Immune thrombocytopenia. Childhood ITP often follows a viral illness: isolated thrombocytopenia in a well child. Many resolve spontaneously; contact sports and NSAIDs are avoided.