What are the International Consensus Report guidelines for grading bleeding in children with immune thrombocytopenia (ITP)?

Updated: Jan 11, 2020
  • Author: Craig M Kessler, MD, MACP; Chief Editor: Srikanth Nagalla, MBBS, MS, FACP  more...
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Answer

A bleeding scale for pediatric patients with ITP is shown in Table 1, below.

Table 1. Bleeding scale for pediatric patients with ITP (Open Table in a new window)

Grade

Bleeding

Management approach

Grade 1 (minor) 

Minor bleeding, few petechiae (≤100 total) and/or ≤5 small bruises (≤3 cm in diameter), no mucosal bleeding 

Consent for observation 

Grade 2 (mild) 

Mild bleeding, many petechiae (>100 total) and/or >5 large bruises (>3 cm in diameter), no mucosal bleeding 

Consent for observation 

Grade 3 (moderate) 

Moderate bleeding, overt mucosal bleeding, troublesome lifestyle 

Intervention to reach grade 1 or 2 

Grade 4 (severe) 

Severe bleeding, mucosal bleeding leading to decrease in Hb > 2 g/dL or suspected internal hemorrhage 

Intervention


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