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.