Immune Thrombocytopenia in Pregnancy
Journal Title: International Journal of Contemporary Medical Research - Year 2018, Vol 5, Issue 12
Abstract
Introduction: Immune thrombocytopenia (ITP) is a common haematological disorder in pregnancy. It complicates upto 10% of pregnancies. It can be benign to potentially hazardous for maternal and fetal well being. It can raise anxieties during antenatal period, around the time of delivery because of possible bleeding associated with vaginal delivery. ITP occurs in one or two of every 1000 pregnancies. It is an acquired autoimmune disorder haracterized by low platelet count secondary to accelerated destruction and impaired thrombopoiesis due to circulating anti platelet antibodies. These antibody coated platelets are then removed following binding to macrophage Fc receptors primarily in the spleen. Case report: Hereby we are presenting a case of post partum thrombocytopenia with ecchymotic rash. She posed a diagnostic dilemma and therapeutic challenge as multiple factors were involved. After Bone marrow study we could reach the diagnosis. Conclusion: The incidence of ITP in pregnancy is 1-2 per 1000 deliveries. It is a common disorder among women of child bearing age. There is always a risk of fetal or neonatal thrombocytopenia. Management of ITP in pregnancy can be a complex and a challenging task
Authors and Affiliations
Seema Dande
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