Aplasia medular adquirida y embarazo. Caso clínico
Autor: | Josefina Lería, Josefa González, Daniela Cardemil, Maria Elena Cabrera, Miguelina Hernández, Angélica Díaz, Magdalena Chubretovic, Pilar León |
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Jazyk: | Spanish; Castilian |
Rok vydání: | 2018 |
Předmět: | |
Zdroj: | Revista médica de Chile v.146 n.3 2018 SciELO Chile CONICYT Chile instacron:CONICYT |
Popis: | Aplastic anemia (AA) or acquired aplastic anemia is an uncommon and potentially fatal disease. It is defined as reduction of at least two peripheral blood series, associated with persistent bone marrow hypocellularity. It's association with pregnancy is even more uncommon, and it may result in high mortality for the mother and the child. We report an adolescent female with aplastic anemia, which worsened during pregnancy. Her hemoglobin was 5.2 g/dl, her leukocytes were 1,833/ul and her platelets were 19,000/ul. She was initially treated with cyclosporine and horse antithymocyte globulin without hematologic improvement. At 36 weeks of pregnancy methylprednisolone and platelet transfusions were used and a cesarean section was performed. Six month later she continues to require red blood cell and platelet transfusions. |
Databáze: | OpenAIRE |
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