International Clinical and Medical Case Reports Journal (ISSN: 2832-5788) | Volume 3, Issue 3 | Clinical Image | Open Access DOI

Multiple Bruises and Petechiae in a Child with the Diagnosis of Chickenpox

Ana Sofia Rodrigues*

Ana Sofia Rodrigues*, Aida Correia de Azevedo, Fernanda Carvalho, Sónia Carvalho

Pediatrics Department, Centro Hospitalar do Médio Ave, Vila Nova de Famalicão

*Correspondence to: Ana Sofia Rodrigues 

Fulltext PDF

Abstract

Chickenpox is a highly contagious disease caused by the varicella-zoster virus. It’s a benign and self-limited viral exanthematous infection but may be associated with complications requiring hospitalization.[1,2] Immune thrombocytopenic purpura (ITP) is an acquired immune-mediated and usually self-limited condition characterized by low platelet counts.[2] The cause of ITP is unknown, but some established triggers include a previous viral, immunologic, or environmental inciting event.[2-4] ITP associated with chickenpox is well described in the pediatric population, but severe immune-mediated thrombocytopenia with bleeding is very rare in children.[4] Although it can lead to life-threatening bleeding complications (gastrointestinal or intracranial hemorrhage) if left untreated, isolated thrombocytopenia in previously healthy children has an excellent prognosis.[2-4] Despite being a disease with a relatively great outcome, parents should be warned about possible complications. Thus, ant this case emphasizes that, doctors assume a very important role in reassuring the parents about the benign course of the disease and all the important aspects they must take notice such as changes in the characteristics of skin lesions, especially if hemorrhagic, which requires urgent medical observation.

Keywords:

Citation:

Ana Sofia Rodrigues, Aida Correia de Azevedo, Fernanda Carvalho, Sónia Carvalho. Multiple Bruises and Petechiae in a Child with the Diagnosis of Chickenpox. Int Clinc Med Case Rep Jour. 2024;3(3):1-6.