# Successful Treatment of Aplastic Anemia With Eltrombopag During Pregnancy: A Short Report

## TL;DR

A pregnant woman with aplastic anemia was successfully treated with eltrombopag, resulting in a healthy delivery and transfusion independence.

## Contribution

This is the first reported case of full-dose eltrombopag use in a pregnant patient with aplastic anemia.

## Key findings

- The patient's blood counts remained stable during treatment with eltrombopag.
- The child was born healthy, and the mother achieved transfusion independence postpartum.

## Abstract

Aplastic anemia (AA) is a rare bone marrow failure syndrome with pancytopenia, mainly due to immune‐mediated stem cell destruction. First‐line therapy for acquired severe AA ≥ 50 years/non‐severe AA (NSAA) requiring treatment is immunosuppressive therapy with horse anti‐thymocyte globulin, cyclosporine A (CSA), and eltrombopag (EPAG). In pregnancy, cytopenia may worsen, while therapeutic options are limited.

We report the first case of a pregnant patient with NSAA/PNH receiving full‐dose EPAG (150 mg/d). Counts remained stable, delivery was uneventful, and the child was healthy. Postpartum, EPAG was discontinued, CSA tapered, and transfusion independence achieved.

EPAG may represent a feasible option in selected pregnancies.