en 40757039 <p>Background: Immune thrombocytopenia (ITP) is an autoimmune condition that affects individuals of all ages, leading to a heightened risk of bleeding. ITP accounts for 5% of all pregnancy-related thrombocytopenia cases with an incidence of 1 in every 1,000 pregnant women. Several conditions can cause thrombocytopenia during pregnancy, making the diagnosis challenging. Current treatment of patients with ITP focuses on maintaining a safe platelet count rather than correcting it to normal levels.&nbsp;<br /> Case Presentation: This article presents a case of a 26-year-old patient at 33 weeks of gestation with severe symptoms of thrombocytopenia, evidenced by a platelet count of 1000/<em>mm</em>³. The patient experienced self-resolving episodes of gingival bleeding, vaginal bleeding, and petechiae on her abdomen, as well as on both upper and lower extremities, over a duration of three days. She was successfully managed with prednisolone and intravenous immunoglobulin (IVIG), resulting in favorable maternal and neonatal outcomes.<br /> Conclusion: While there are currently no universally accepted guidelines for the treatment of ITP, expert consensus recommendations are available. Therefore, treatment should be individualized and closely monitored. A multidisciplinary team approach is essential for the effective management of ITP during pregnancy.</p> Bleeding, Immune thrombocytopenia, Immunoglobulins, Platelet count, Prednisolone, Pregnancy, Purpura 58 64 https://www.jri.ir/article/140261 https://www.jri.ir/documents/fullpaper/en/140261.pdf RawadHalimehThe Centre for Reproductive and Genetic Health (CRGH), London, UKrawad.halimeh@gmail.com122692JosephKlimFaculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon122836LeaAoudeFaculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon122837MarianneBersaouiDepartment of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon122697BernardNajibCentre Antoine Lacassagne, Nice, France122835SaabWiamDepartment of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon102062FadiFakhouryDepartment of Anesthesia, Montreuil Intercommunal Hospital Center, Montreuil, France122838RanaSkafDepartment of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon122839