History:
This is not the first time that the patient has presented with such presentation with many episodes reported since childhood. He has initially been diagnosed with idiopathic thrombocytopenic purpura since 2007 based on presentation and investigations including complete blood count and bone marrow biopsy which showed thrombocytopenia at that time for which he was started on corticosteroids and osteoprotection with no improvement of his condition. He also takes proton pump inhibitors and tranexamic acid to help reduce the bleeding. He is not known to have any allergies, and has never received any drug that might be interfering with blood homeostasis.