Case 109 – update 2

You suspected ITP or possibly gestational thrombocytopenia and embarked on monitoring her platelet counts every few weeks. The lady is now 34 weeks pregnant and is otherwise well. Her platelet count has started to fall over the past 6 weeks and is now 30×10^9/L. She is well with no bleeding.

What is the most likely diagnosis now?

How would you manage this patient at this stage?

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