Successful pregnancy following aplastic anaemia.
Pregnancy following idiopathic aplastic anaemia is rare and is difficult to manage because of life-threatening episodes of bleeding and infections. Only a handful of cases has been reported in the literature. The pregnancies were unsuccessful in the majority. The present report describes a patient with moderately severe idiopathic aplastic anaemia who was managed with intensive haematological support leading to delivery of a healthy infant by caesarean section. Despite platelet transfusion refractoriness as a result of transfusions prior to pregnancy, adequate platelet transfusions prevented excessive bleeding. The literature is reviewed and management with platelet transfusions is discussed.
Leong
K W
KW
Department of Medicine, Faculty of Medicine, University of Malaya, Kuala Lumpur, Malaysia.
Teh
A
A
Bosco
J J
JJ
Lim
J
J
D000328:Adult; D000741:Anemia, Aplastic / Q000209:etiology / Q000628:therapy*; D005260:Female; D006801:Humans; D017713:Platelet Transfusion; D011247:Pregnancy; D011250:Pregnancy Complications, Hematologic / Q000209:etiology* / Q000628:therapy