Isolated anaemia as a manifestation of Rh isoimmunisation.
BMJ Case Rep
; 20122012 Jan 18.
Article
en En
| MEDLINE
| ID: mdl-22665873
ABSTRACT
Rh isoimmunisation leads to haemolytic anaemia and hyperbilirubinaemia in the first h of life. Isolated early onset neonatal anaemia has rarely been reported. The authors describe the case of a term infant, born to an 'A' negative, second gravida mother. On the second day of life, pallor was noticed. His haemoglobin (Hb) was 6.8 g/dl, he had reticulocytosis and a positive direct antiglobulin test. However, he did not have a high total serum bilirubin (TSB) (87.2 µmol/l). He was transfused with red blood cells and kept under phototherapy for 3 days. Three weeks later, he received another transfusion for severe anaemia (Hb 6 5 g/dl). During this period, he was never jaundiced and the maximum level of TSB was 122 µmol/l. On follow-up, his Hb stabilised and he had no further problems. This report highlights the possibility of early onset anaemia without jaundice as the sole manifestation of Rh isoimmunisation.
Texto completo:
1
Bases de datos:
MEDLINE
Asunto principal:
Isoinmunización Rh
/
Enfermedades del Recién Nacido
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Anemia Macrocítica
Límite:
Humans
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Male
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Newborn
Idioma:
En
Revista:
BMJ Case Rep
Año:
2012
Tipo del documento:
Article
País de afiliación:
Portugal