Neonatal alloimmune thrombocytopenia after maternal immunization with paternal mononuclear cells: successful treatment with intravenous gamma globulin.
We report a case of neonatal alloimmune thrombocytopenia and intracranial hemorrhage in an infant whose mother received immunizations of paternal mononuclear cells. This therapy is designed to prevent unexplained first trimester miscarriages. No previous cases of platelet autoimmunization associated with maternal immunization with paternal mononuclear cells has been reported. Treatment with antenatal maternal infusions of intravenous gamma globulin (IVGG) did not prevent fetal thrombocytopenia, but IVGG may become the treatment of choice for postnatal, antibody-mediated thrombocytopenia of the newborn.
Pearlman
S A
SA
Department of Pediatrics, Medical Center of Delaware, Newark 19718.
Meek
R S
RS
Cowchock
F S
FS
Smith
J B
JB
McFarland
J
J
Aster
R H
RH
D000026:Abortion, Habitual / Q000628:therapy; D000328:Adult; D002543:Cerebral Hemorrhage / Q000276:immunology / Q000628:therapy; D005260:Female; D006801:Humans; D007114:Immunization / Q000009:adverse effects* / Q000379:methods; D007074:Immunoglobulin G / Q000627:therapeutic use*; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use*; D007231:Infant, Newborn; D008431:Maternal-Fetal Exchange; D009000:Monocytes; D011247:Pregnancy; D011297:Prenatal Exposure Delayed Effects; D013921:Thrombocytopenia / Q000276:immunology / Q000628:therapy*
D007074:Immunoglobulin G; D016756:Immunoglobulins, Intravenous