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[My child bleeds easily: clinical and paraclinical approach]
Raffaele Renella1, Maya Nenadov-Beck, Hervé Vienny
1Département médico-chirurgical de Pédiatrie, Centre Hospitalier Universitaire Vaudois, 1011, Lousanne, Suisse.
Insights
This clinical guideline helps identify normal versus abnormal easy bruising in children. It provides an algorithm for diagnosis and follow-up, guiding when to consult a pediatric hematologist.
Area of Science:
- Pediatric Hematology
- Clinical Guidelines
- Diagnostic Algorithms
Context:
- Easy bruising is a common presenting symptom in pediatric care.
- Differentiating normal bruising from pathological causes is crucial for timely intervention.
- Accurate diagnosis prevents unnecessary investigations and ensures appropriate management.
Purpose:
- To establish a clear clinical guideline for evaluating children with easy bruising.
- To differentiate between normal and abnormal etiologies of bruising.
- To provide a structured algorithm for work-up and follow-up, including referral criteria.
Summary:
- This review synthesizes current knowledge on pediatric easy bruising.
- It categorizes etiologic groups and defines normal bruising parameters.
- An evidence-based algorithm guides diagnostic evaluation and management strategies.
Impact:
- Facilitates accurate and efficient diagnosis of pediatric bruising.
- Reduces diagnostic delays and unnecessary testing.
- Empowers clinicians to make informed decisions regarding pediatric hematology referrals.
Abstract:
The aim of this review article is to provide a clinical guideline for the child presenting with easy bruising, distinguishing among the different etiologic groups associated with this symptom what is normal and what is not, allowing then to establish an algorithm for work-up and follow-up. We also precise in which concrete situation it would be necessary to refer the child to a pediatric hematologist.