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[Expert Solution]: 4 years old girl has been hospitalized with…

4 years old girl has been hospitalized with complaints of abdominal pains and hemorrhages on the trunk and extremities. The disease has manifested suddenly with the developing of macular red rash on buttocks, trunk and extremities. Childs parents cant relate these symptoms to any provoking factors. However, it is known that before this disease the child has been sick with an acute purulent otitis and has received cefodox, ascorutin, nurofen and tobrex. It is known from life anamnesis that allergic diathesis and paratrophia have been marked on the first year of life. The first child in the family has died of meningitis, the eldest child is healthy. In general inspection of a child: severe general condition, vasculitis-and-purpuric hemorrhages of different remoteness on trunk and extremities are marked. The face is pastose. Abdomen is painful in palpation, livers margin juts out the right costal arch on 1 cm, spleen is not enlarged. Pasternatskys symptom is positive from both sides. Physiological discharges are normal. Hemogram data: erythrocytes 3,5 /l, Hb 118 gr/l, reticulocytes 13 %, thrombocytes 480 g/l, leukocytes 9,1 g/l, eosinocytes 0 %, stab n.-6 %, segmented n. 61 %, lymph. 26 %, monocytes 7 %, ESR 5 mm/hour. Blood coagulation time 3 min. 30 sec., prothrombin index 1,2; plasma tolerance to heparin 5 min. 20 sec.; blood clot retraction 93,3 %.Which diagnosis may be made in this case?Prescribe the treatment according to the diagnosis.

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