Bolton-Maggs and Moon graded bleeding severity in children with acute thrombocytopenic purpura (ITP). The authors are from Alder Hey Children's Hospital in Liverpool, England.
Parameters:
(1) skin lesions
(2) mucosal lesions
(3) other bleeding
(4) need for therapy
(5) interference/effect on quality of life
Parameter
None (Normal)
Mild Bleeding
Moderate Bleeding
Severe Bleeding
skin lesions
none
simple bruising or petechiae
more extensive skin lesions
may be extensive
mucosal lesions
none
minor epistaxis
some mucosal lesions; epistaxis
may be extensive
other bleeding
none
none
minor, including menorrhagia
GI bleeding, intracerebral, severe menorrhagia
therapy
none
none
none or packing or cautery
admission to hospital and/or blood transfusion
interference on quality of life
none (normal)
none or very little
mild to moderate
marked
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