Conclusions
This case emphasizes the importance of generating a broad differential
diagnosis for anaemia in pregnancy. Although SA is a rare type of
anaemia, it should be considered in cases of unexplained pregnancy
relapsing anemia. Specifying the type of SA is rather challenging as it
requires extensive workup including deep genetic testing. However,
careful review of the patient’s constellation of clinical findings and
red cells indices and morphology aid in narrowing the differential
diagnosis. Identification of possible revisable cause that can be
treated as pyridoxin deficiency is crucial to ovoid both maternal and
fetal adverse effect like prematurity, abortions, and even fetal death
specially with Hb drop to a critical level.