spider lily

plumeria obtusa

bruises in ITP

ITP

saw one child with itp. 1 year plus presented with spontaneous bruises. increasing in severity. presenting platelt count 18 x 10^9/L. no hepatosplenomegaly. blood film normal.

give him 2g/kg of iv Ig. One vial 2.5g. total 12 vials as his weight is 15kg.
one vial per hour with iv lasix in between.