IDIOPATHIC THROMBOCYTOPENIA IN PREGNANCY Case report

Prikazana je 41 godišnja trudnica kojoj je u 25. tjednu trudnoće otkrivena idiopatska autoimuna trombocitope-nija. Radi se o drugoj trudnoći u drugom braku. Trudnica nije imala znakove hemoragijske dijateze. Broj trombocita kod prijema bio je 4×109/L. Liječenje kortikosteroidima nije dalo rezultate, te je započeto liječenje imunoglobulinima na što broj trombocita kratkotrajno poraste na normalne vrijednosti. Nakon ponovljenog liječenja imunoglobulinima, u 34. tjednu, dovršena je trudnoća carskim rezom. Rođeno je živo, nedonošeno žensko dijete 1980 g/43 cm, bez kliničkih i laboratorij-skih znakova trombocitopenije. Babinjača je preseljena na Hematološki odjel. S obzirom na neodgovaranje na uobičajeno liječenje bolesnici je predložena splenektomija na koju ona ne pristaje. Dijete je otpušteno kući kao zdravo bez ikakovih znakova bolesti.A 41 year-old pregnant woman with idiopathic autoimmune thrombocytopenia detected in her 25th week of pregnancy is presented. It was the second pregnancy in a second marriage. At the beginning of treatement the platelet count was 4×109/L and the disorder was asymptomatic. The patient was treated with corticosteroids without success. The treatement with immunoglobulins produced a transient improvement. Cesarean section was carried out in 34th week of pregnancy, following a second course of immunoglobulin. A baby girl was born with no evidence of neonatal thrombocy-topenia. The woman was transferred to hematologic department. Because of non-respondance to the therapy splenectomy was proposed, but the patient did not agree with the procedure. The child was released home as healthy and entirely unaffected