26th April 2024

A 7-year-old boy presents to the clinic with a one-week history of increasing tiredness, easy bruising, and occasional nosebleeds.

A 7-year-old boy presents to the clinic with a one-week history of increasing tiredness, easy bruising, and occasional nosebleeds. His mother mentions he has also had several episodes of fever over the past month. On examination, he appears pale and lethargic. There are multiple bruises of different ages on his limbs and trunk. His spleen is palpable 2 cm below the costal margin.

Which is the most likely diagnosis?