<prompt> The following are the common features of acute idiopathic thrombocytopenic purpura except-EpistaxisCutaneous ecchymosesMassive splenomegalyThrombocytopenia  <response>: 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. 