Case 109 – update 1

The lady had a repeat FBC that confirmed isolated thrombocytopenia with a platelet count of 80×10^9/l Her blood film is shown below you check carefully and there are no platelet clumps. Her CD61 platelet count is 75×10^9/l

You establish that she has had a previous normal FBC two years ago. She is usually fit and well and takes no medications. She has no family history of thrombocytopenia. This is her first pregnancy and he has been well so far with no problems. She has not had any recent heparin.

What does the blood film show?

What is the differential diagnosis?

How would you monitor the patient  and who should do the monitoring?

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