Q. A 3-year-old boy is brought to his pediatrician by his parents because of persistent bleeding from mouth after falling on his face while he was playing in the park. He has a history of recurrent nosebleeds but has not had developmental motor abnormalities.
On clinical examination, his vital signs are normal, he is alert and interactive, and has a normal neurological exam. On dermatological exam, there are diffuse petechiae and purpura over his trunk and extremities.
The pediatrician orders laboratory testing:
* Bleeding time is increased
* The PT and PTT are normal
* The platelet count is normal
* The platelet morphology is normal
* Adding ristocetin to the blood sample causes platelets to aggregate (normal test).
What is the most likely diagnosis?