petechiae

[DanaDyess]

I have a 4 `/2 y/o male with intermitten petechiae  on his chest, neck, and shoulder.  He has also had 3 nose bleeds and easy to bruise.  He was on Trileptal for a month and it was D/Ced because of these symptoms.  He has been off of the med. for a week now and more showed up two days ago.  His CBC, comp. and Oxcarbazepine level were fine. What could be causing this?

[DanaDyess]

Thank you all for your response!! The patient is 4 1/2, nothing but CBC, comp, and Oxcarbazepine levels were done.  All were fine. I am not sure what the comp levels are but I am aware of what the CBC and oxcarbazepine are for.  If it were lukemia wouldn't the WBC be high?  I have joint problems my self and have been tested for lupus and RA, they were negative.  So I don't think it would be that. Due to the fact it is mainly genetic.  I did notice that when the lab drew his blood, it took about 20 minutes for the puncture to stop bleeding.  Is that abnormal?  When I took him to his dr. he said it was an "unspecified rash", nothing to harm him.  The only other medical condition is Asthma.  The other things are neurological AD/HD is diagnosed Bipolar in question - too young for diagnosis. He is currently taking Intunive 1 mg and the Trileptol was D/Ced.  Any help is greatly appreciated.

[Dr. Kokil Mathur]

Hi
Welcome to the MedHelp forum!
Petechiae can result from autoimmune disorders, such as lupus or rheumatoid arthritis, bone marrow disorders such as leukemia, inflammation of the veins, as a side effect of certain medications. Please discuss this with his doctor and show him the rash. It is difficult to comment beyond this at this stage. Take care!

[thedocsquawk]

Might be a bleeding disorder like Von Willebrand's or hemophilia. PT, INR labs would be useful and maybe a hematologist visit might be a good idea.

[Londres70]

How old is the patient?  

Any coagulation labs done?  

Liver panel done?  

Any other medical conditions?

[DanaDyess]

that should be 4 1/2 y/o