A CASE OF PREGNANCY WITH CHRONIC ITP MANAGED WITH IVIg: A REPORT

Abstract

Immune thrombocytopenia (ITP) can be rarely associated with pregnancy. The management of ITP during pregnancy is a contentiou s issue and is often decided by a multi-disciplinary team. We here present a case of a 20-year-old female presenting with ITP in pregnancy. She was managed initially with oral prednisolone followed by IVIg (1 g/Kg) near term. The platelet counts increased significantly after the single dose of IVIg and she underwent a caesarean section at 37th week uneventfully. Platelet count of the neonate was also normal. Relevant literature on the use of IVIg for this and other indications during pregnancy have also been discussed.