Fatal intracranial hemorrhage in a pregnant patient with autoimmune thrombocytopenic purpura.
Thrombocytopenia in pregnancy is a frequent cause of hematological consultation. Autoimmune thrombocytopenic purpura results from platelet destruction due to autoantibodies. Spontaneous intracranial hemorrhage is a rare but devastating complication of these patients. We present a fatal case of intracranial hemorrhage in a 18 week pregnant woman diagnosed with autoimmune thrombocytopenia. The clinical course and treatment of this unusual clinical complication is discussed in relation to the world literature.
Chedraui
Peter A
PA
High Risk Pregnancy Unit of the Enrique C. Sotomayor Obstetrics and Gynecology Hospital, Guayaquil-Ecuador. peterchedraui@yahoo.com
Hidalgo
Luis A
LA
San Miguel
Glenda
G
D000328:Adult; D017809:Fatal Outcome; D005260:Female; D005865:Gestational Age; D006801:Humans; D020300:Intracranial Hemorrhages / Q000175:diagnosis / Q000209:etiology*; D011247:Pregnancy; D011248:Pregnancy Complications; D016553:Purpura, Thrombocytopenic, Idiopathic / Q000150:complications* / Q000175:diagnosis; D014057:Tomography, X-Ray Computed