AI Article Synopsis
- * The case highlights a young female whose AA worsened while she was pregnant, presenting extremely low levels of hemoglobin, leukocytes, and platelets.
- * Despite initial treatments with cyclosporine and thymocyte globulin, her condition did not improve, and she ultimately required a cesarean section and ongoing transfusions postpartum.
Article Abstract
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.
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| http://dx.doi.org/10.4067/s0034-98872018000300399 | DOI Listing |
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