Pregnancy in a patient with cystic fibrosis and idiopathic thrombocytopenic purpura.
A pregnant patient with cystic fibrosis and idiopathic thrombocytopenic purpura (ITP) is presented. Management of the pregnancy was complicated by the coexistence of the 2 diseases and consisted of antibiotic therapy, prolonged hospitalization, bed rest, exogenous pancreatic enzyme replacement, bronchodilators, blood and platelet transfusions, and high-dose steroids. A good outcome was obtained with cesarean section performed under local anesthesia at 32 weeks' gestation. Recommendations from the literature for the management of each disease are discussed.
D000328:Adult; D002585:Cesarean Section; D003550:Cystic Fibrosis / Q000150:complications* / Q000628:therapy; D005260:Female; D005865:Gestational Age; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D011247:Pregnancy; D011248:Pregnancy Complications / Q000628:therapy; D011250:Pregnancy Complications, Hematologic / Q000628:therapy; D011696:Purpura, Thrombocytopenic / Q000150:complications* / Q000628:therapy