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Signs and Symptoms

Chronic ITP

Signs and Symptoms

Chronic ITP impacts your life in many ways, physically and emotionally. Everyone’s experience is different, so be sure to talk to your doctor about any abnormalities that you think may be related to the disease.


A low platelet count can cause many ITP symptoms, including:

Example of visible discolored dots
Small purplish dots on the skin (called petechiae)
Examples of spontaneous nosebleeds
Nosebleeds and other bleeding that is hard to stop
Examples of bleeding gums
Bleeding from the gums, bruising, or bloody spots in your mouth
Example of easy bruising
Large bruises from minor bumps
Example of prolonged bleeding
Prolonged bleeding from cuts

Symptoms can also include: Lumps of clotted blood under the skin, blood in urine or stool, heavy menstrual bleeding, and coughing up blood clots.


ITP without bleeding symptoms can be diagnosed by a routine blood count. Bleeding usually depends on the severity of an individual’s chronic ITP and can vary from person to person.


However, to make a final diagnosis of ITP, your doctor will have to rule out other diseases that can cause low platelet counts. This is called a diagnosis of exclusion.