Abstract
The patient was a 4-year-old girl diagnosed as acute lymphocytic leukemia, who had received peripheral blood stem cell transplantation (PBSCT). She was followed up without any treatments and showed petechiae on her lower extremities one year after PBSCT. A diagnosis of idiopathic thrombocytopenic purpura was made by a bone marrow examination and by elevated plateletassociated IgG. Her platelet count was soon increased by γ-globulin and followed corticosteroid. The recurrence of ITP has not been recognized despite of ceased medication.