Epidural anesthesia for labor and delivery in a patient with May–Hegglin anomaly: a case report
| Autor: | Sonia Albrechtova, Annas Muhammad Muzannara, Mohammed K Al Harbi, Raza Rathore, Freddie Wambi, Nasir Mahmood, Vassilios Dimitriou, Nasser Tawfeeq |
|---|---|
| Jazyk: | angličtina |
| Rok vydání: | 2017 |
| Předmět: |
Pregnancy
medicine.diagnostic_test business.industry medicine.medical_treatment Splenectomy Case Report thrombocytopenia Disease 030204 cardiovascular system & hematology medicine.disease Thrombocytopenic purpura May–Hegglin anomaly 03 medical and health sciences 0302 clinical medicine Anesthesiology and Pain Medicine medicine.anatomical_structure 030202 anesthesiology Anesthesia Biopsy medicine In patient Bone marrow pregnancy business |
| Zdroj: | Local and Regional Anesthesia |
| ISSN: | 1178-7112 |
| Popis: | We report a case of May-Hegglin anomaly (MHA) in a woman who had a successful labor and delivery under epidural anesthesia. MHA is an inherited thrombocytopenia easily misdiagnosed as idiopathic (immune) thrombocytopenic purpura (ITP). Early and appropriate diagnosis of MHA during pregnancy is essential for optimal maternal and neonatal delivery outcome. Additionally, it can avoid unnecessary diagnostic studies, such as bone marrow aspiration and biopsy, and even harmful therapies with corticosteroids, immunosuppressive agents, and splenectomy. Consequently, the most serious impacts of this disease are iatrogenic managements due to misdiagnosis. It seems that in patients with MHA, adequate clinical coagulation is far more dependent on adequate platelet function than any particular platelet count. The diagnosis of MHA may pose a challenge for clinicians managing pregnant women with thrombocytopenia. |
| Databáze: | OpenAIRE |
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