title: Subconjunctival hemorrhage: the first presenting clinical feature of idiopathic thrombocytopenic purpura.
abstract: BACKGROUND
  Subconjunctival hemorrhage as the first presenting clinical feature of idiopathic thrombocytopenic purpura, to the best of our knowledge, has not been reported earlier.
  
  
  METHODS
  A 60-year-old woman presented with an isolated finding of subconjunctival hemorrhage. She later developed hemorrhage from retinal vessels and had a single episode of hematuria.
  
  
  METHODS
  Her blood cell count showed an extremely low platelet count. Her medical history and clinical examination for any other systemic or ophthalmic pathology were negative. Even after treating the patient with blood and platelet transfusion and maintaining her on high doses of systemic steroids, she did not respond well.
  
  
  CONCLUSIONS
  The appearance of spontaneous subconjunctival hemorrhage in a patient should be thoroughly investigated as it can be an initial sign of a grave systemic disorder.
authors.affiliation: Department of Ophthalmology, Safdarjung Hospital, New Delhi, India.
authors.forename: Punita Kumari
authors.initials: PK
authors.lastname: Sodhi
authors.forename: Rachael
authors.initials: R
authors.lastname: Jose
mesh_terms: D001772:Blood Cell Count; D003229:Conjunctival Diseases / Q000175:diagnosis* / Q000188:drug therapy; D005130:Eye Hemorrhage / Q000175:diagnosis* / Q000188:drug therapy; D005260:Female; D005938:Glucocorticoids / Q000627:therapeutic use; D006417:Hematuria / Q000175:diagnosis; D006801:Humans; D008875:Middle Aged; D011696:Purpura, Thrombocytopenic / Q000175:diagnosis* / Q000188:drug therapy; D012166:Retinal Hemorrhage / Q000175:diagnosis
chemical_list: D005938:Glucocorticoids