CASE 3

 

CLINICAL HISTORY

A 32 year-old woman presented with a “rash” that appeared 3 days ago over her legs. She had an influenza-like illness about 3 week earlier.

 

Past medical history was negative for any bleeding or thrombotic problems.

 

Family history was also noncontributory.

 

The patient was on no medication at the time of evaluation.

 

PHYSICAL EXAMINATION

Physical examination revealed diffuse petechiae over the lower extremities and several large ecchymoses over the chest.  No palpable organomegaly was found.

 

 

SCREENING COAGULATION LABORATORY RESULTS

PT= 10 sec (Normal 8-11.5)

aPTT= 35 sec (Normal 24-37.5)

Plt= 12,000 /μL (Normal 150,000-350,000)