Immune Thrombocytopenic Purpura with Megaloblastic Anemia in Pregnancy

Thrombocytopenia in pregnancy can be physiological or pathological. Causes can be differentiated based on period of gestation of presentation, degree of thrombocytopenia, clinical features and associated secondary causes. Thus, determining the significance of thrombocytopenia in a pregnant patient depends on the accurate identification of its underlying cause. A 21 years old primigravida was admitted to our hospital with very severe anemia and developed petechia all over her body. Her lab studies showed severe thrombocytopenia which responded to oral prednisolone whereby a diagnosis of thrombocytopenia was established. However, her general blood picture also showed megaloblastic anemia for which patient was investigated and treated. The aim of this report is to present a case of immune thrombocytopenic pregnancy along with megaloblastic anemia with pregnancy, responsive to steroid with risks to mother and fetus, and their concomitant management. Nepal Journal of Obstetrics and Gynaecology / Vol 8 / No. 1 / Issue 15 / Jan- June, 2013 / 56-58 DOI: http://dx.doi.org/10.3126/njog.v8i1.8868