Criteria of Blanchette et al for Bleeding Severity in a Child with Acute Idiopathic Thrombocytopenic Purpura (ITP)

 

Moderate bleeding:

(1) localized bruising or petechiae

(2) generalized bruising or petechiae

(3) moderate mucosal hemorrhage

(4) epistaxis requiring therapy but not requiring red blood cell transfusion

 

Severe bleeding - one or more of the following:

(1) extensive mucosal hemorrhage

(2) marked increase in extent of bruising and/or petechiae (after admission to the hospital)

(3) fundal (optic) hemorrhage

(4) epistaxis requiring red blood cell transfusion

(5) macroscopic hematuria

(6) gastrointestinal bleeding (clinical, as opposed to guiac positive stool)

(7) intracranial hemorrhage