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Immune thrombocytopenic purpura in a twin girl revealed by a traumatic injury in parakou (North Benin)

Adedemy JD, Noudamadjo A, Kpanidja G, Agossou J, Agbeille M ohamed F, Dovonou CA

Background: ITP seems to be rare but in tropical settings thrombocytopenia is often encountered among children.

Objective: Authors through this case report are putting emphasy on the diagnosis and management of ITP in a 4 year old twin girl admitted in the pediatric emergency ward for hematuria and bleeding from various origins seen in the context of a domestic trauma.

Results: The various clinical signs have been analyzed to confirm ITP through exclusion of other possible health conditions. The management of ITP depend on the severity of clinical signs and in some cases the situations can be life threatening. In this case report, Blood transfusion and corticosteroids were the main treatment tools. The hospital stay was about 4 days and an ambulatory follow up was conducted for almost 6 months.

Conclusion: In the context of various bleeding disorders, hematuria and thrombocytopenia, autoimmune thrombocytopenia TP in a twin girl was revealed by a domestic trauma.