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Pediatrics
Two weeks after a viral syndrome, a 2-year-old child develops bruising and generalized petechiae, more prominent over the legs. No hepatosplenomegaly or lymph node enlargement is noted. The examination is otherwise unremarkable. Laboratory testing shows the patient to have a normal hemoglobin, hematocrit, and white blood cell (WBC) count and differential. The platelet count is 15,000/mL. Which of the following is the most likely diagnosis?
Von Willebrand disease (vWD)
Acute leukemia
Idiopathic (immune) thrombocytopenic purpura (ITP)
Aplastic anemia
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