When it comes to pregnancy complicated with purpura, I believe many people are familiar with it. Pregnancy complicated with purpura is a platelet disease that can easily occur in pregnant women. Moreover, pregnancy complicated with purpura can easily lead to a decrease in people's resistance and spontaneous bleeding. So, what are the symptoms of pregnancy complicated with purpura?
1. Symptoms of acute type
It is common in children, accounting for 90% of cases of immune thrombocytopenia. The incidence rate of men and women is similar. 84% of cases have a history of respiratory or other viral infections 1-3 weeks before the onset of the disease, so the incidence is highest in autumn and winter. The onset is sudden, with fever, chills, and the sudden occurrence of widespread and severe skin and mucosal purpura, even large patches of bruising or hematoma. Skin bruising is mostly systemic, with more on the lower limbs and evenly distributed.
Mucosal bleeding is more common in the nose and gums, and there may be blood blisters in the mouth. Gastrointestinal and urinary tract bleeding is not common, while intracranial bleeding is rare but life-threatening. The spleen often does not swell. Platelets are significantly reduced, and the course of the disease is mostly self limiting, with over 80% of patients able to self resolve. The average course of illness is 4-6 weeks, and in some cases, it may be delayed for six months or more and become chronic. Acute type accounts for less than 10% of adult ITP.
2. Symptoms of chronic type
Commonly seen in young women, females are 3-4 times more common than males, with a slow or insidious onset and mild symptoms. Bleeding often recurs and can last for several days to months at a time. The degree of bleeding is related to platelet count. Platelet count of 50 × 109/L is often bleeding after injury. Platelet count (10-50) × 109/L may cause varying degrees of spontaneous bleeding, while platelet count of 10 × 109/L often results in severe bleeding.
