Refractory Immunological Thrombocytopenia Purpura and Splenectomy in Pregnancy

Abstract EN

Thrombocytopenia is defined as a platelet count of less than 100,000 platelets per microlitre (mcL).

Thrombocytopenia develops in approximately 6-7% of women during pregnancy and at least 3% of these cases are caused by immunological platelet destruction.

Herein, we present a pregnant woman who develops at the first trimester autoimmune thrombocytopenia purpura associated with positive antiphospholipid antibodies.

The disease was refractory to pharmacological treatments but had a favourable response to splenectomy.

The patient carried the pregnancy to term without complication and gave birth to a healthy baby girl.