A 32-year-old G1P0 reports to your office for a routine OB visit at 14 weeks gestational age. Labs drawn at her first prenatal visit 4 weeks ago reveal a platelet count of 60,000. All her other labs were within normal lim- its. During the present visit, the patient has a blood pressure of 120/70. Her urine dip reveals the presence of trace protein. The patient denies any com- plaints. The only medication she is currently taking is a prenatal vitamin. On taking a more in-depth history you learn that, prior to pregnancy, your patient had a history of occasional nose and gum bleeds, but no serious bleeding episodes. She has considered herself to be a person who just bruises easily.
1. What is this patient’s most likely diagnosis?
Immune thrombocytopenic purpura
2. What medical treatment would you recommend to treat the throm- bocytopenia?
No treatment is necessary
Stop prenatal vitamins
Oral corticosteroid therapy
Intravenous immune globulin