title: [Management of rhesus alloimmunisation by spectrophometry: about one case at the Yopougon Teaching Hospital, Côte-d'Ivoire].
abstract: The authors report a care management of a patient presenting a severe alloimmunisation treated by spectrophotometry, a very efficient method but difficult of access in developing countries. Beyond the restrictive paraclinical exams which do not allow an efficient monitoring of this pathology, the lack of alloimmunisation prevention during illegal abortions and the lack of information about patients'medical files are highly responsible for the difficult management of Rhesus- negative patients. However the authors remind that only the scan at best combined with the Doppler, are effective exams helping to avoid the constraints of spectrophotometry. Although quite well-known this pathology induces very severe foetal consequences and may involve the obstetric prognosis of young women. The caesarian section will still remain for a long time the only means to prevent foetus from alloimmunisation complications in developing countries.
authors.affiliation: CHU de Yopougon, 08 BP 816, Abidjan 08, Côte-d'Ivoire. anaecra@yahoo.fr
authors.forename: A
authors.initials: A
authors.lastname: Touré Ecra
authors.lastname: Horo
authors.forename: M
authors.initials: M
authors.lastname: Fanny
authors.forename: K
authors.initials: K
authors.lastname: Seni
authors.forename: R
authors.initials: R
authors.lastname: Konan Blé
authors.forename: M
authors.initials: M
authors.lastname: Koné
mesh_terms: D000328:Adult; D001663:Bilirubin / Q000032:analysis; D007560:Cote d'Ivoire; D005260:Female; D006801:Humans; D012203:Rh Isoimmunization / Q000175:diagnosis* / Q000628:therapy*; D013053:Spectrophotometry
chemical_list: D001663:Bilirubin