A Case of Idiopathic Thrombocytopenic Purpura-Presented as Secondary PPH

Dr. Meda Greeshma, Dr. Ch.Gangadevi, Dr.Ch. Sai Praneetha Reddy

Abstract: A 28 year old P2L2 postnatal day 15 came with complaints of heavy bleeding since 3 days with haemoglobin 2 gm%, platelet count 4000. She was given 4 bottles of whole blood, but her bleeding continued and her Hb was 2.7gm%, platelet count less than 10,000. After all investigations and patient not improving with repeated blood transfusions, a diagnosis of Idiopathic thrombocytopenic purpura (ITP) was made as diagnosis of exclusion and she was started with IV steroids, which showed improvement clinically and her bleeding stopped then converted to oral steroids and discharged with Hb 8.5gm%, platelet count 95000.ITP is diagnosis of exclusion. The case is presented to highlight that in management of PPH, if the treatment does not respond one should think of rare cause like ITP. It is the awareness of the doctors that can help the patients.

Keywords: idiopathic thrombocytopenic purpura, awareness, steroids, postpartum haemorrhage