Bernard-Soulier syndrome is an inherited platelet disorder, transmitted in an autosomal recessive
pattern. Thrombocytopenia and large defective platelets are characteristics, often presents early with
bleeding symptoms, such as epistaxis, ecchymosis, menometrorrhagia, and gingival or gastrointestinal bleeding. Diagnosis
can be conrmed by platelet aggregation studies and ow cytometry. Differential diagnosis includes other inherited giant
platelet disorders, as well as von Willebrand disease and immune thrombocytopenic purpura. During pregnancy, it can present
as recurrent rst trimester miscarriages, antepartum, intrapartum and postpartum haemorrhage. Treatment remains generally
supportive with platelet transfusions and recombinant factor VII has also been described in literature.