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    <journal-meta>
      <journal-id journal-id-type="nlm-ta">J Reprod Infert</journal-id>
      <journal-id journal-id-type="publisher-id">arij001</journal-id>
      <journal-title-group>
        <journal-title>Journal of Reproduction &amp; Infertility</journal-title>
      </journal-title-group>
      <issn pub-type="ppub">2228-5482</issn>
      <issn pub-type="epub">2251-676X</issn>
      <publisher>
        <publisher-name>Avicenna Research Institute</publisher-name>
      </publisher>
    </journal-meta>

    <article-meta>
      <article-id pub-id-type="publisher-id">jri140261</article-id>
      <article-id pub-id-type="doi"></article-id>
      <article-id pub-id-type="pmid"></article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
             <subject></subject> 
        </subj-group>
        <subj-group>
            <subject></subject>
        </subj-group> 
      </article-categories>
      <title-group>
        <article-title>Severe Immune Thrombocytopenic Purpura in a Patient at 33 Weeks of Gestation: A Case Report</article-title>
      </title-group>
        <contrib-group><contrib contrib-type="author"><name><surname>Halimeh</surname><given-names>Rawad</given-names></name></contrib><aff>The Centre for Reproductive and Genetic Health (CRGH), London, UK</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Klim</surname><given-names>Joseph</given-names></name></contrib><aff>Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Aoude</surname><given-names>Lea</given-names></name></contrib><aff>Faculty of Medicine and Medical Sciences, University of Balamand, El-Koura, Lebanon</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Bersaoui</surname><given-names>Marianne</given-names></name></contrib><aff>Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Najib</surname><given-names>Bernard</given-names></name></contrib><aff>Centre Antoine Lacassagne, Nice, France</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Wiam</surname><given-names>Saab</given-names></name></contrib><aff>Department of Obstetrics and Gynecology, American University of Beirut Medical Center, Beirut, Lebanon</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Fakhoury</surname><given-names>Fadi</given-names></name></contrib><aff>Department of Anesthesia, Montreuil Intercommunal Hospital Center, Montreuil, France</aff></contrib-group><contrib-group><contrib contrib-type="author"><name><surname>Skaf</surname><given-names>Rana</given-names></name></contrib><aff>Department of Obstetrics and Gynecology, Saint George Hospital University Medical Center, Beirut, Lebanon</aff></contrib-group>
      <pub-date pub-type="ppub">
        <day></day>
        <month></month>
        <year></year>
      </pub-date>
      <pub-date pub-type="epub">
        <day></day>
        <month></month>
        <year></year>
      </pub-date>
      <volume>26</volume>
      <issue>1</issue>
      <fpage>58</fpage>
      <lpage>64</lpage>
      <history>
        <date date-type="received">
          <day>1</day>
          <month>9</month>
          <year>2024</year>
        </date>
        <date date-type="accepted">
          <day>1</day>
          <month>2</month>
          <year>2025</year>
        </date>
      </history>
      <abstract>
      <p>
      &lt;p&gt;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.&amp;nbsp;&lt;br /&gt;
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/&lt;em&gt;mm&lt;/em&gt;&lt;sup&gt;3&lt;/sup&gt;. 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.&lt;br /&gt;
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.&lt;/p&gt;

      </p>
      </abstract>
    </article-meta>
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