[Dissociation of maternal and fetal platelet levels in maternal idiopathic thrombocytopenic purpura. Diagnosis of fetal thrombocytopenia by cord ultrasound-guided puncture].
Severe foetal thrombocytopenia (24,000 platelets per cubic mm) was diagnosed in a 37-week pregnant woman. The primigravida, primipara mother had been affected with idiopathic thrombocytopenic purpura at the age of 6 years, in remission since the age of 8 years (after splenectomy). The prenatal diagnosis was made by foetal blood sampling performed when the mother's platelet count was normal. The expected haemorrhagic complications of vaginal delivery were avoided by a caesarean section.
Boulot
P
P
Centre de Foetologie, Montpellier.
Sunol
J
J
Sarda
P
P
Deschamps
F
F
Hedon
B
B
Laffargue
F
F
Viala
J L
JL
D000328:Adult; D001707:Biopsy, Needle; D005260:Female; D005312:Fetal Blood / Q000166:cytology; D005315:Fetal Diseases / Q000175:diagnosis*; D006801:Humans; D010976:Platelet Count; D011247:Pregnancy; D011248:Pregnancy Complications / Q000097:blood*; D011296:Prenatal Diagnosis; D011696:Purpura, Thrombocytopenic / Q000097:blood* / Q000150:complications / Q000175:diagnosis; D014463:Ultrasonography
Dissociation des taux plaquettaires maternel et foetal au cours d'un purpura thrombopénique idiopathique maternel. Diagnostic de la thrombopénie foetale par ponction échoguidée du cordon.