23rd August 2024

A 6-year-old child is brought in by their mother due to concerns that the child is becoming increasingly unsteady on their feet

A 6-year-old child is brought in by their mother due to concerns that the child is becoming increasingly unsteady on their feet. The mother reports that there were no concerns at the time of the birth and that her child has been progressing well through childhood. You can see that the child has had repeated courses of antibiotics for chest infections over the years, but otherwise there have been no concerns about the child’s health. On assessment the child has multiple bruises over their knees and elbows and clusters of blood vessels on their lip and cheeks. What is the most likely diagnosis?

Select the SINGLE most appropriate option from the list below. Select ONE option only.