Case Credits Obstetric Haematology Course Oxford 2025

Dr Abdul Mannan FRCPath FCPS

Blood 🩸Doctor

[email protected]

Case Stem

36-year-old woman from Malawi (G2P1) presents to maternity assessment unit.

• BMI: 33
• 2-week history of breathlessness
• Hb: 50 g/L
• Platelets: 57 ×10⁹/L
• WBC: 3.1 ×10⁹/L
• Reticulocytes: 0.3%
• LDH: 4135 U/L
• Folate: <3 µg/L
• B12: 161 pg/mL
• ADAMTS13 activity: 42%

Questions with Toggle Answers

• Q1. What is the differential diagnosis for pancytopenia in pregnancy?
• Q2. What further investigations are appropriate?
• Q3. How do you interpret the labs?