Development of Severe Hemolytic Anemia after Treatment with Anti-D Immunoglobulin in a Patient with Immune Thrombocytopenic Purpura / 대한수혈학회지
Korean Journal of Blood Transfusion
; : 72-77, 2012.
Article
em Ko
| WPRIM
| ID: wpr-76691
Biblioteca responsável:
WPRO
ABSTRACT
A 78-year-old female was admitted due to nasal bleeding and purpuric macules on both legs. The patient underwent renal biopsy, and a diagnosis of Henoch-Schonlein purpura nephritis was made. The patient's platelet count was 1.6x10(10)/L, and, based on results from bone marrow biopsy, the patient was diagnosed with immune thrombocytopenic purpura. Despite treatment with glucocorticoid and IV immunoglobulin, thrombocytopenia continued. The patient's blood group was Rhesus D positive and treatment with IV anti-D immunoglobulin followed. Thereafter, platelet count showed a rapid increase; however, occurrence of hemolytic anemia, hyperbilirubinemia, and hemoglobinuria consistent with intravascular hemolysis was observed.
Palavras-chave
Texto completo:
1
Base de dados:
WPRIM
Assunto principal:
Contagem de Plaquetas
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Vasculite por IgA
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Trombocitopenia
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Biópsia
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Medula Óssea
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Imunoglobulinas
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Epistaxe
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Púrpura Trombocitopênica Idiopática
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Hemoglobinúria
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Hemólise
Limite:
Aged
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Female
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Humans
Idioma:
Ko
Revista:
Korean Journal of Blood Transfusion
Ano de publicação:
2012
Tipo de documento:
Article