Download FREE Practo app
Get ₹200 HealthCash
2-3 bruise every week on lower leg knee
My four-year-old son has been developing one or two small to medium-sized bruise-like marks on his knees or the lower part of his legs, over the bony areas, about once or twice a week for the past two months.
He is very active, playful, and mischievous. He spends most of the day indoors, jumping around and climbing onto tables, so I thought the bruises might be due to that. However, I still consulted a doctor, who advised us to get the following tests done: CBC, CRP, Ferritin, APTT, and Prothrombin Time.
His test results are:
Ferritin: 23.5
CRP: 0.03
Vitamin d <8
He drinks very little water—less than 250 mL per day. His weight is 13.8 kg. He did not have any active infection at the time of the tests. However, one week earlier, he had received the Influenza and MMR vaccines.
His ESR is high. Is there anything concerning about his blood test report regarding bruise? At present, the doctor has prescribed Tonoferon and vitamin d for 3 and 2 months respectively.
My son has less fat .
Answers (7)
Get your queries answered instantly with Care AI FREE
20000+ health queries resolved in last month
Some times because of blood related diseases these kind of bruises that's why your doctor has advised to do above blood tests and luckily all the tests are normal no issue. So continue medicine as advised by your doctor
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Didn't find the answer you are looking for?
Talk to experienced orthopedist online and get your health questions answered in just 5 minutes.
+123
Hii
Those bruises might be injury related. His CBC is fine and PTINR and APTT are also within normal limit. But the child needs to be examined as well. As of now continue with VitD supplements along with syp calcium and keep it touch with a Pediatrician.
Next Steps
Keep a close watch on new bruises.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Bhatt Vivek Prafulchandra
Pediatrician
5 yrs exp
Rajkot
Consult with Pediatrician physically for further evaluation and treatment
Answered
Flag this answer
Let others know if this answer was helpful
Was this answer helpful?
YES
NO
Dr. Munaswamy Reddy Nirupama
Pediatrician
14 yrs exp
Bengaluru
Hello,
Based on the history you’ve provided, the bruises do not appear to require any specific intervention at present, especially since the test reports are normal.
However, do keep an eye out for any new bruises or small reddish-purple spots (petechiae) appearing elsewhere on the body. Also watch for recurrent fever, joint pain or swelling, bleeding from the gums or nose, or any unusual bleeding. If any of these symptoms develop or the bruising becomes frequent or unexplained, please consult your paediatrician for a detailed evaluation…
You can continue with vitamin syrups which had been prescribed to you..
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Anisha Goyal
Pediatrician
9 yrs exp
Delhi
Hello, although your PT and APT tests are normal, but since the child is having bruises even on even minor trauma, then some test should be done. First of all get a PT and APTT done from reputed Lab like Lal Lab and other than this also factor 8 factor 9 assay, if they come out to be normal, then we can still wait or we can. No further work is required at present, but these test should be done.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Ankur Gupta
Pediatrician
12 yrs exp
Lucknow
As the above mentioned reports the medicines prescribed to your child is right.
Can continue same medicines as prescribed duration.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Dr. Jay Gajjar
Pediatrician
6 yrs exp
Surat
From the reports you’ve shared, there doesn’t appear to be evidence of a major bleeding disorder. The platelet count, PT/INR, and APTT are normal, which is reassuring.
Small bruises over the knees and shins are very common in active children and are often due to minor unnoticed trauma.
The main abnormality is a very low Vitamin D level, for which the prescribed treatment is appropriate. The ESR is elevated, but since the CRP is normal and the child is otherwise well, this alone is not usually a cause for concern and can be rechecked after a few weeks if advised by your pediatrician.
If bruises start appearing without injury, become very large, occur on the trunk/face, or are associated with nosebleeds, gum bleeding, fever, or weight loss, then the child should be reviewed again promptly.
Answered
Flag this answer
1/1 people found this helpful
Was this answer helpful?
YES
NO
Articles you may like
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.
The question asked on this page is a free question. You can ask a free health question by downloading the Practo app.
Articles you may like
Tell us what's troubling you
Tell us what's troubling you
Disclaimer : The content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding your medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website.