The patient is 28 years old, was diagnosed ITP 4 years ago, had been treated with Prednisone several times, each time from several months to 1 year. The patient had an unsuccessful pregnancy one year ago.
The main questions from the patient are:
1) Is it safe for the patient to get pregnant? What's the minimum platelet level requirement during pregnancy?
2) If during the pregnancy the patient needs to be treated, is Prednisone safe at a low dose? what's the main harm to both the mother and the fetus? Is there any better alternatives than Prednisone for ITP during pregnancy?
3) Is ITP seasonal? (The patient usually gets better after spring)
Thanks a lot!