What type of disorder does this child have and what is the


Question:

An 8-year-old girl is admitted with severe epistaxis. She has a generalized purple petechial rash that developed over the past 24 hours. She also has hemorrhagic bullae on her gums and lips.

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Her parents state that "she just started to bleed before our eyes." She denies any recent falls. She states she just got over a cold. Her laboratory work shows abnormal bleeding time, thrombocytopenia, normal granulocytes, and low-normal hemoglobin and hematocrit.

What type of disorder does this child have, and what is the pathophysiology?

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