Godeau et al developed a bleeding score for evaluating an adult with autoimmune thrombocytopenic purpura. This can be used in diagnosis and for monitoring response to therapy. The authors are from the French AITP Study Group.
Parameters:
(1) cutaneous bleeding
(2) intra-oral bleeding
(3) epistaxis
(4) hematuria
(5) gastrointestinal bleeding
(6) gynecologic bleeding (in females)
(7) ocular bleeding
(8) age
|
Parameter |
Finding |
Points |
|
cutaneous bleeding |
none |
0 |
|
|
localized purpura |
1 |
|
|
extensive and/or progressive purpura |
3 |
|
|
purpura with large ecchymoses |
4 |
|
intra-oral bleeding |
none |
0 |
|
|
hemorrhagic oral bullae and/or spontaneous gingival bleeding |
4 |
|
epistaxis |
none |
0 |
|
|
unilateral |
2 |
|
|
bilateral |
3 |
|
hematuria |
none or microscopic |
0 |
|
|
macroscopic |
5 |
|
GI bleeding |
none |
0 |
|
|
subclinical |
0 |
|
|
overt |
5 |
|
gynecologic bleeding |
none |
0 |
|
|
major menorrhagia and/or metrrorrhagia |
4 |
|
ocular bleeding |
none |
0 |
|
|
bleeding in fundus oculi without other cause |
5 |
|
|
bleeding in fundus oculi with other possible cause |
0 |
|
age |
<= 60 years of age |
0 |
|
|
> 60 years of age |
1 |
total score =
= SUM(points for all of the parameters)
Interpretation:
• minimum score: 0
• maximum score: 31
• The higher the score the more extensive the bleeding.
Specialty: Hematology Oncology, Clinical Laboratory, Immunology/Rheumatology
ICD-10: ,
