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Newly diagnosed 2 year old and a scared mommy

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9 years 10 months ago - 9 years 10 months ago #54562 by Graysonsmom
Here is our story,

It all began on April 23rd. I was out of town, my husband was working so we left our children with grandparents. My 2 year old had a fun day playing with his twin cousins outside. When I returned home later that afternoon, the kids continued to play outside at home. I noticed Grayson, the 2 year old, had hives, redness and swelling all over his face, ears and neck. He as allergies and asthma, so I assumed he reacted to a pollen outside. The pollen count was extremely high that week as well. I immediately gave him Benadryl and a bath. He was not happy about coming inside for a bath so he cried while I washed him. As he cried, I noticed large red areas the size of nickels inside his mouth. I thought it was strange but assumed it was part of the allergy. The Benadryl worked and I put him to bed. The next morning I noticed the red dots all over his head and neck. Once again, I assumed it was a symptom to the reaction he had the night before. As the day progressed, I noticed bruises coming up all over his legs and a few on his arms. A couple of the bruises were even swollen. I thought he must of played hard with his cousins the day before and didn't think much of it. The next two days I noticed the bruises became larger, darker and many more were present. I questioned his grandma on what they played outside and if he they kicked a ball causing his chins to be hit. I knew his bruises didn't seem right and he still had the red dots in his mouth. At that time, my 7 year old daughter had a 103 temperature so my focus was on her. On Wednesday, April 27th day 3 of my daughter's fever, I took her to see her pediatrician and soon found out she had strep. While we were there, I decided to ask her about Grayson's bruises and if she believed he needed to be seen. She wanted him in immediately fearing a platelet issue. I brought him in a few hours later for his appointment and blood was drawn. She assured me that she would call by 5 pm if anything came up otherwise I would get a call from her the following day. That afternoon and evening, panic began to set in as I talked to others about his condition and the possibilities of what it could be. 5 pm came and went so we settled down for the evening but I knew something wasn't right with his bruises. I put him to bed and as I prepared for bed as well at 10 pm, I got a call from his provider's office that his count was a 7 and we were to immediately take him to the ER. That was the worst feeling as a mother...leukemia was my fist thought and I believe my son was dying. We quickly got him to the ER where more blood was drawn and ITP was mentioned. His white cell count was elevated but everything else looked good. Due to the higher white cell count, more tests were done to rule out other autoimmune disorders. By 3 am he was in his hospital room and receiving IVIG. After 12 hours, the process was complete but our fears were great. We had to wait until the following morning for more blood to be drawn to see where his counts were. The next morning he was at 140 and we were ecstatic! The pediatrician went into great detail about ITP and what to expect. He truly believed his counts would stay up and we wouldn't have to deal with it again. When his counts were tested again the following Monday, he was up to 180. We were positive, still scared, but life continued for the next week until his next count check. When he was checked a week later, he was down to 40. I felt sick, terrified for my little guy and down right helpless. I had been told about an amazing hematologist in the area that I wanted Grayson to see. I called his pediatrician and started the process in getting him seen. His pediatrician was wonderful and made all the arrangements. His appointment was made for the next day.

Since then in the last month his counts have been going up and down. He went up to 90 just last week but is heading back down. Two days ago he was at 70. Today he has petechiae on his ears and neck, canker sores all in his mouth (especially his bottom lip), and multiple bruises all over. He's a little trooper though and sits in the same chair at the lab each time he goes in. They all know him by name there and take good care of him with suckers and stickers ready for him each time he enters the room. The ladies at the local donut shop know him well now too because his daddy takes him there for a yeast donut with chocolate icing and sprinkles after every blood draw.

From what the doctor has said, reading the posts and such, I know that he is going to jump around in numbers but that doesn't make the fear go away. He is just a little boy and the not knowing is just killing me. Not knowing what caused this for him (he did not have a virus when this occurred), not knowing how long he will be battling this, not knowing if he will have an active bleeder of some sort, etc... I can't stop worrying, stressing, and looking him over for more signs. But I am so grateful for this website and all the information I have already found after reading other stories and posts. Any information, stories, words of encouragement are very welcome. I need my nerves calmed and my hoped lifted. Thank you...

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  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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9 years 10 months ago - 9 years 10 months ago #54567 by Sandi
I understand how scary it must be and I'm sorry that your son has to go through this. You're right, there are a lot of unknowns when one has ITP. Counts can go up and down for quite a while and it can be frustrating. The good news is that children are usually acute and it can remit on its own in a few months. IVIG is generally a very temporary treatment, meaning that it doesn't last and counts drop back down. For children though, it can have the least side effects so it's not a bad way to go for now.

ITP is sometimes caused by an illness (which you said he did not have), a medication, or a vaccine, especially the MMR.

All you can do is take one day at a time. Try not to focus on the numbers; the symptoms are more important. If you are vigilant and seek treatment when he becomes symptomatic, he will be fine. He responds quickly to IVIG and that is great! Many parents choose not to treat, even at low numbers and that is a viable option. However, if he has symptoms, it is better to be cautious.
The following user(s) said Thank You: Graysonsmom

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9 years 10 months ago - 9 years 10 months ago #54621 by Graysonsmom
Replied by Graysonsmom on topic Newly diagnosed 2 year old and a scared mommy
Thank you Sandi. Two days ago his counts went back up to 98,000. But this morning he woke up with his torso completely covered in a raised rash, petechia (sp?) in various places on his body, and new sores in his mouth. So he had to have his blood drawn again and we are waiting once again to see if he took a jump down. His hematologist also asked for him to be seen by his pediatrician so he goes in the morning.

He didn't have shots before this disorder either. The doctor thinks that maybe the strep did enter his system but he didn't have any symptoms accept for getting this. Another boy his age in the area came down with ITP at this time right after getting strep. He said several in our area in the last 6 months now have ITP and they wonder if they all became infected by the same virus or strep which let to this.

Have you or anyone experienced the rashes or mouth sores? Why would his body do this if his counts aren't super low? Should I be worried?

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  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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9 years 10 months ago - 9 years 10 months ago #54622 by Sandi
Let me know when you get the count. Sores in the mouth are usually an indication of low counts; they are called blood blisters. However, petechiae aren't raised, they are flat, so I'm wondering if the rash and mouth sores are unrelated. Petechiae are broken blood vessels, and are never raised or bumpy.

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9 years 9 months ago #54887 by Graysonsmom
Replied by Graysonsmom on topic Newly diagnosed 2 year old and a scared mommy
Well that week his counts went way up to 200,000! However, he was fighting some virus which caused the rash and soon stomach issues. His doctor's nurse explained that sometimes the counts will go up when fighting off something instead of down. It appears that was the what was happening. The next week he went down to 148,000 which is still way higher than he has been in a long time. Because he was still high, they gave him last week off from getting his blood taken.

He had his blood taken today so tomorrow we will find out tomorrow where he is now.

As time goes on, this disorder becomes a new norm and not so scary anymore. That first month was a roller coaster of fear and anxiety. I'm sure I will start to feel that way again if he drops low again. I hate the waiting game that we are playing but we are handling it much better now.

Is it common to go up as high as he is and then go back down? Or are his chances of staying up and going higher greater?? That's my new thoughts and concerns.

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  • Sandi
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  • Sandi Forum Moderator Diagnosed in 1998, currently in remission. Diagnosed with Lupus in 2006. Last Count - 344k - 6-9-18
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9 years 9 months ago - 9 years 9 months ago #54896 by Sandi

Graysonsmom wrote: Is it common to go up as high as he is and then go back down? Or are his chances of staying up and going higher greater?? That's my new thoughts and concerns.


Unfortunately, there is no 'common' when it comes to ITP. I would say that a consistent high count is a good indication of a possible remission, but anything can happen with ITP. A virus or infection can cause counts to go up, but it can also cause counts to go down. All in all, I'd say he is doing pretty darn good at the moment!

I'm glad you are handling things better. :)

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