Neonatal Alloimmune Thrombocytopenia Due to Maternal Anti HPA1a Antibodies: Case Report and Management of Subsequent Pregnancy ()
ABSTRACT
Fetoneonatal alloimmune
thrombocytopenia is an infrequent and
severe disease that is
unexpectedly found after an uncomplicated first pregnancy. Affected infants
might show unexplained purpura, intracranial hemorrhage, and/or
gastrointestinal or genitourinary hemorrhage. Nevertheless,
in asymptomatic newborns the thrombocytopenia may be discovered incidentally.
We describe a case report that highlights that the incidental diagnosis of FNAIT
allows both properly managing the newborn, and detecting maternal anti-HPA1a
antibodies in order to prevent the disease in subsequent pregnancies. A
non-invasive treatment based on IVIgG allowed to this patient to prevent FNAIT
in her second pregnancy.
Share and Cite:
Cruz, V. , Martínez-Varea, A. , Núñez-Valera, M. , Abad-Carrascosa, A. , Diago, V. and Perales-Marín, A. (2014) Neonatal Alloimmune Thrombocytopenia Due to Maternal Anti HPA1a Antibodies: Case Report and Management of Subsequent Pregnancy.
Open Journal of Obstetrics and Gynecology,
4, 213-216. doi:
10.4236/ojog.2014.45035.
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