This is a real-world medical entrance exam question, please give the true answer based on the question and selection. Topic name: Haematology, Subject name: Medicine
[{'content': 'The following are the common features of acute idiopathic thrombocytopenic purpura except- \nSelect and explain. \nA. Epistaxis, B. Cutaneous ecchymoses, C. Massive splenomegaly, D. Thrombocytopenia', 'role': 'user'}, {'content': 'Answer: C \nExplanation: Acute ITP is a self limiting disorder seen mor frequently in children following recovery from a viral illness or an upper respiratory illness.The clinical manifestations develop abruptly with petechial hemorrhages,easy bruising ,menorrhagia,nasal bleeding ,bledding from gums,melaena & hematuria.In ITP, platelet count is markedly reduced. Splenomegaly & hepatomegaly may occur in cases with chronic ITP ,but not in acute ITP.Reference :Harsh mohan textbook of pathology 6th edition pg no 333.', 'role': 'assistant'}]