ALLOIMMUNE THROMBOCYTOPENIA - INUTERO TREATMENT BY HIGH-DOSES OF INTRAVENOUS GAMMA-GLOBULINS

被引:4
作者
POULAIN, P
KAPLAN, C
LEBERRE, C
MILON, J
BERGERON, C
GRALL, JY
机构
[1] Institut National de Transfusion Sanguine, Paris
[2] Department of Obstetrics, Hôpital Sud, Paris
[3] Centre Régional de Transfusion Sanguine, Paris
[4] Department of Ultrasound, Paris
[5] Department of Pediatrics, Rennes
关键词
ALLOIMMUNE THROMBOCYTOPENIA; PLATELET ANTIGEN INCOMPATIBILITY; ANTENATAL DIAGNOSIS; PERIUMBILICAL BLOOD SAMPLING; INUTERO TREATMENT;
D O I
10.1159/000263662
中图分类号
R71 [妇产科学];
学科分类号
100211 ;
摘要
The authors report successful in utero treatment by high doses of intravenous gamma globulins in a case of neonatal alloimmune thrombocytopenia. Early diagnosis allows an appropriate management: fetal blood sampling as early as 20 weeks of gestation; in case of fetal thrombocytopenia, treatment by intravenous gamma globulin (1.0 g/kg/b.w.) each week during 8 weeks or more; ultrasound screening of in utero hemorrhage, particularly intracranial hemorrhage; fetal blood sampling before delivery at term and in utero transfusion of platelet antigen negative in case of persistence of fetal thrombocytopenia.
引用
收藏
页码:144 / 146
页数:3
相关论文
共 15 条
[1]  
Bussel J., Kaplan C., McFarland, Recommendations for the evaluation and treatment of neonatal autoimmune and alloimmune thrombocytopenia, Thromb Haemost, 65, pp. 631-634, (1991)
[2]  
Blanchette V.S., Chen L., De Fried- berg Z.S., Hogan V.A., Trudel E., Decary F., Alloimmunization to the PIAI platelet antigen: Results of a prospective study, Br J Haematol, 74, pp. 209-215, (1990)
[3]  
Kaplan C., Morel-Kopp M.C., Kroll H., Kiefel V., Schlegel N., Chesnel N., Mueller-Eckhardt C., HPA-5b (Br<sup>a</sup>) neonatal alloimniune thrombocytopenia: Clinical and immunological analysis of 39 cases, Br J Haematol, 78, pp. 425-429, (1991)
[4]  
Valentin N., Vergracht A., Bignon J.D., Cheneau M.L., Blanchard D., Kaplan C., Reznikoff-Etievant M.F., Muller J.Y., HLA-DRw 52a is involved in alloimmunization against PI.AI antigen, Hum Immunol, 27, pp. 73-79, (1990)
[5]  
Mueller-Eckhardt C., Kiefel V., Grubert A., Kroll H., Weisheit M., Schmidt S., Mueller-Eckhardt G., Santoso S., 348 cases of suspected neonatal alloimmune thrombocytopenia, Lancet, 1, pp. 363-366, (1989)
[6]  
Muller J.Y., Kaplan C., Reznikoff-Etievant M.F., Patereau C., Daffos F., Forcstier F., De Puy Montbrun M.C., Lyon-Caen D., Salmon C., In utero fetal sampling in neonatal alloimmune thrombocytopenia: Justification and usefulness, Curr Stud He- matol Blood Transfus, 54, pp. 127-135, (1988)
[7]  
Zaineiritis E.L., Young R.S.K., Krishnamoorthy K.S., Intracranial hemorrhage in utero as a complication of isoimmune thrombocytopenia, J Pediatr, 95, pp. 611-614, (1979)
[8]  
Taaning E., Skibsted L., The frequency of platelet alloantibodies in pregnant women and the occurrence and management of neonatal al- loimmune thrombocytopenic purpura, Obstet Gynecol Surv, 45, pp. 521-525, (1990)
[9]  
Kaplan C., Daffos F., Forestier F., Cox W.L., Lyon-Caen D., Dupuy-Montbrun M.C., Salmon C.H., Management of alloimmune thrombocytopenia: Antenatal diagnosis and in utero transfusion of maternal platelets, Blood, 72, pp. 340-343, (1988)
[10]  
Lynch L., Bussel J., Goldberg J.D., Chitkara U., Wilkins I., McFarland J., Berkowitz R.L., The in utero diagnosis and management of alloim- mune thrombocytopenia, Prenat Diagn, 8, pp. 329-331, (1988)