If not for the thrombocytopenia i would have gone with vW... There was no mention to other characteristics which are much more visible in a child with ITP- severe bleeding in ITP is when the PLT number is pretty low- may even require PLT transfusion at such a level. Usually ITP presents earlier with non-palpable purpura and minor excessive bleedings of gums etc. When I hear excessive bleeding- I try and understand how excessive