case_images: PMC9252296_01
case_images: Peripheral blood smear with normal RBC morphology and absent platelets.
case_images: IDR-15-3405-g0001.jpg
case_images: PMC9252296_01_IDR-15-3405-g0001.jpg
case_images: f0001
case_images: The peripheral blood smear, as presented in Figure 1, showed normal red blood cells (RBC) morphology, decreased number of leukocytes and absent platelets. 
case_images: Patient with wet purpura and petechias in the first 48 h since hospital admission.
case_images: IDR-15-3405-g0002.jpg
case_images: PMC9252296_01_IDR-15-3405-g0002.jpg
case_images: f0002
case_images: Adix moderate grade score with high risk of bleeding, treatment with intravenous methylprednisolone 1 mg/kg/day and platelet concentrate was administrated. After four doses of high-dose corticoid therapy, the hepatic and renal parameters returned within normal range, but the platelet count maintained the value of 0x103/muL, thus therapy with IVIG at a programmed dose of 1 g/kg/day for two days was administered, with immediate clinical and laboratory improvement (Figures 4 and 5, Table 2). 
case_images: Ecchymosis in the first 48 h since hospital admission.
case_images: IDR-15-3405-g0003.jpg
case_images: PMC9252296_01_IDR-15-3405-g0003.jpg
case_images: f0003
case_images: Patient on D-8 of hospital admission, with clinical improvement of wet purpura.
case_images: IDR-15-3405-g0004.jpg
case_images: PMC9252296_01_IDR-15-3405-g0004.jpg
case_images: f0004
case_images: Adix moderate grade score with high risk of bleeding, treatment with intravenous methylprednisolone 1 mg/kg/day and platelet concentrate was administrated. After four doses of high-dose corticoid therapy, the hepatic and renal parameters returned within normal range, but the platelet count maintained the value of 0x103/muL, thus therapy with IVIG at a programmed dose of 1 g/kg/day for two days was administered, with immediate clinical and laboratory improvement (Figures 4 and 5, Table 2). 
case_images: Clinical improvement of ecchymosis.
case_images: IDR-15-3405-g0005.jpg
case_images: PMC9252296_01_IDR-15-3405-g0005.jpg
case_images: f0005
case_images: Adix moderate grade score with high risk of bleeding, treatment with intravenous methylprednisolone 1 mg/kg/day and platelet concentrate was administrated. After four doses of high-dose corticoid therapy, the hepatic and renal parameters returned within normal range, but the platelet count maintained the value of 0x103/muL, thus therapy with IVIG at a programmed dose of 1 g/kg/day for two days was administered, with immediate clinical and laboratory improvement (Figures 4 and 5, Table 2). 