Publications by authors named "Juron-Dupraz F"

Hemolytic disease of the newborn infant (HDN) due to anti-K (Cellano) is very uncommon in Caucasians. We report here a case of anti-K HDN. The anti-K alloimmunization appeared in the mother during her fifth pregnancy.

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During the last thirty years, the diagnosis, management and prevention of haemolytic disease of the newborn infant (HDN) have improved. From 1959 to 1988, 3004 HDN (ABO excluded) have been collected. The percentage of HDN with anti-D alloimmunization decreased significantly (98.

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Haemolytic disease of the newborn (HDN) due to Rhesus anti-e alone is rarely observed in the Caucasian population. We report here a case of an R2R2 mother who had never been transfused and whose two children had a mild HDN without transfusion or blood exchange transfusion (BE) after delivery.

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In many cases, during pregnancies of anti-D alloimmunized women, without antigenic stimulus, the anti-D concentration remains stable. We report here a case of a woman anti-D and anti-C alloimmunized which has presented high variation of anti-D concentration in her serum during two successive pregnancies with a Rh-negative fetus. Thus, the Liley Index only has confirmed the absence of fetal damage.

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In France, relative increases in hemolytic disease of the newborn (HDN) due to non anti-D maternal alloimmunization is linked to a systematic search and prevention of an anti-D alloimmunization in Rh negative women during and after pregnancy. In May 1985, detection of anti-red blood cell alloantibodies in all pregnant women has been ordered by a new law. We have observed the efficiency of this law by studying the number of HDN with anti-D and non anti-D maternal alloimmunization detected before and after delivery during the years 1984 and 1986.

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A native Cambodian woman delivered a third full-term female baby who had a strongly positive direct antiglobulin test. During the pregnancy and after the delivery, the woman had a negative irregular antibody screening test using standard red blood cell panels, but the indirect antiglobulin test between the mother's serum and the father's red blood cells was strongly positive. The antibody could be eluted from the baby's red blood cells and its was identified as an anti-Dia (Diegoa).

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A french woman delivered a third full-term male baby who had a strongly positive direct antiglobulin test. During the pregnancy and after the delivery, the woman had a negative irregular antibody screening test using standard red blood cell panels. The compatibility testing between the mother's serum and the father's red blood cells was strongly positive and the antibody was identified as an anti-Wra.

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Between 1970 and 1982, 124 cases of hemolytic diseases of the newborn due to antigens other than A, B and Rhesus-D were observed in the Blood Bank of Lyon (France). These cases represent 10,3% of all the hemolytic diseases of the newborn (ABO excluded). This percentage has raised during this period: 2,1% in 1970 until 39,2% in 1982.

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The authors analyse numerous publications dealing with hemolytic disease of the newborn due to erythrocyte antigens other than A, B and Rhesus D. They emphasize the frequency of these diseases and the clinical presentation according to the antibody specificity. Finally, they suggest a practical management to treat these hemolytic diseases of the newborn.

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From 1955 through 1978, 150 immunohemolytic accidents of variable gravity have been documented, representing an incidence of 7.1 cases out of 100 000 transfused blood units. These accidents can be classified as follows: 83 cases due to ABO incompatibility, 42 cases due to an irregular antibody in the recipient (six times due to anti-D), 20 cases induced by passive maternal antibodies in the newborn and 5 cases which were attributed to injected anti-A or anti-B antibodies.

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The first case is provided by a french women (KK, husband k/k) who delivered a first healthy full term infant in 1970 and received one blood unit at this time. In 1972 and 1975, his second and fourth pregnancies ended by spontaneous abortion. In 1974 and 1976, she delivered stillborn infants with hydrops fetalis during the sixth month.

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