Ecchymoses

• Cutaneous bleeding

• Mucosal site bleeding

• Gingival bleeding

• Intracranial hemorrhage (rare) Laboratory Testing

• Normal or slightly elevated thrombopoietin

• Decreased hemoglobin, hematocrit, platelets

• Prolonged bleeding time

• Peripheral blood smear for abnormal platelets

• Helicobacter pylori testing

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