Symptoms/Signs |
Management |
Petechiae and bruises only Epistaxis that stops within 30 minutes |
Can usually be discharged home and no treatment required unless there is uncertainty about diagnosis. Reassure parents – give advice and information leaflet (see below) Safety Net advice - return to hospital for following:
|
Epistaxis requiring nasal packing and/or ENT treatment. Painful oral purpura and/or significant gingival bleeding Haematuria, passing blood PR, haematemesis, significant menorrhagia with Hb > 80g/L. |
Admit to hospital Discuss management with a haematologist in local hospital prior to treatment if possible Treatment
If further treatment besides TXA is required, consider the use of IVIg and/or oral prednisolone as below in discussion with local haematologist:
|
Suspected internal haemorrhage Significant external haemorrhage with Hb < 80g/L |
Admit to hospital and consider HDU or PICU care Urgent consultation with haematologist in local hospital and with tertiary paediatric haematologist Treatment
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Document Version:
1.0 Lead Authors: Dr Michael Roe, Consultant Paediatrician with an interest in non-oncological haematology, UHS |
Approving Network:
Wessex Paediatric Haematology Network Date of Approval: Review Due: |
PIER Contact |
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