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Therapeutic Options for Immune Thrombocytopenia (ITP) During Pregnancy
Anca NICOLESCU, Ana Maria VLADAREANU, Irina VOICAN, Minodora ONISAI and Radu VLADAREANU
ABSTRACT
The incidence of ITP during pregnancy is low. When ITP is suspected it is necessary to perform an extended set of clinical and biological investigations in order to determine the etiology of thrombocytopenia, as the diagnosis of ITP is a process of exclusion, because there is no sensitive and specific diagnostic test so far. The treatment for ITP during pregnancy represents a challenge, being necessary in the cases selected according to the obstetrical indications, to the degree of maternal thrombocytopenia and to the extent of the hemorrhagic syndrome, as well as according to the adverse reactions of the treatment on the mother and fetus.
Keywords: Immune thrombocytopenia, pregnancy, corticotherapy, hemorrhage