Recurrent sideroblastic anaemia during pregnancy

We report a 32-year-old pregnant patient, presented with palpitation and generalized weakness. She was found to have a severe anemia with haemoglobin of 4.2 gm/dL.She gave a history of recurrent anaemia, which only occurred during pregnancy. bone marrow aspirate showed sideroblastic anaemia. Further investigation revealed significantly low pyridoxine level.