Acute ITP presenting as gingival bleeding

The report is an interesting case of ITP which lead to continuous intermittent bleeding from gingival sulcus of right lower back teeth with multiple petechiae and ecchymosis of chest, upper - lower extremities, lips and buccal mucosa. A complete hemogram revealed Thrombocytopenia with platelet count as low as 22,000/mm3. The patient was immediately hospitalized and administered platelet replacement and medication. Signs such as generalized spontaneous gingival bleeding or the presence of petechiae and hematomas on body leads to suspicion of altered coagulation or bleeding disorder. This emphasizes the significance of clinical examination, early diagnosis and referral of such patients to specialized centers for prompt treatment.