Systemic lupus erythematosus - Associated acute severe thrombocytopenia and leukopenia first presented in pregnancy

被引：4

作者：

Daskalakis, G ^{[1
]}

Papantoniou, N ^{[1
]}

Marinopoulos, S ^{[1
]}

Vomvolaki, E ^{[1
]}

Papageorgiou, I ^{[1
]}

Mesogitis, S ^{[1
]}

Antsaklis, A ^{[1
]}

机构：

[1] Univ Athens, Dept Obstet & Gynaecol 1, Athens, Greece

来源：

FETAL DIAGNOSIS AND THERAPY | 2005年 / 20卷 / 06期

关键词：

systemic lupus erythematosus; thrombocytopenia; leukopenia; pregnancy;

D O I：

10.1159/000088047

中图分类号：

R71 [妇产科学];

学科分类号：

100211 ;

摘要：

We report a rare case of acute severe thrombocytopenia and leukopenia, which first presented at 37 weeks' gestation. Based on clinical as well as on laboratory findings the diagnosis of systemic lupus erythematosus was made. The patient was successfully managed with an emergency transfusion of 6 units of platelets and intravenous immunoglobulin infusion followed by methylprednisolone administration. A caesarean section was performed at 39 weeks. The neonate was not thrombocytopenic at birth, nor at the age of 1 month. Copyright (c) 2005 S. Karger AG, Basel.

引用

页码：540 / 543

页数：4

共 13 条

[1]

BANKOWSKI B, 2002, J HOPKINS MANUAL GYN, P212

[2]

Cervera Ricard, 2002, Autoimmunity Reviews, V1, P354, DOI 10.1016/S1568-9972(02)00082-4

[3]

ISSELBACHER K, 1994, HARRISONS PRINCIPLES, V2, P1643

[4] Review of autoimmune thrombocytopenia: Pathogenesis, diagnosis and management in pregnancy [J].

Johnson, JR ;

Samuels, P .

CLINICAL OBSTETRICS AND GYNECOLOGY, 1999, 42 (02) :317-326

[5]

Letsky EA, 1996, BRIT J HAEMATOL, V95, P21

[6]

Levy Jeffrey A, 2002, J Am Board Fam Pract, V15, P290

[7]

LI EK, 1993, BRIT J CLIN PRACT, V47, P338

[8] Lupus pregnancy [J].

Lockshin, MD ;

Sammaritano, LR .

AUTOIMMUNITY, 2003, 36 (01) :33-40

[9] GUIDELINES FOR PLATELET TRANSFUSIONS [J].

MURPHY, MF ;

BROZOVIC, B ;

MURPHY, W ;

OUWEHAND, W ;

WATERS, AH .

TRANSFUSION MEDICINE, 1992, 2 (04) :311-318

[10] Gestational thrombocytopenia [J].

Shehata, N ;

Burrows, R ;

Kelton, JG .

CLINICAL OBSTETRICS AND GYNECOLOGY, 1999, 42 (02) :327-334

← 1 2 →