| Isolated anaemia as a manifestation of Rh isoimmunisation. | |
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MedLine Citation:
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PMID: 22665873 Owner: NLM Status: In-Data-Review |
Abstract/OtherAbstract:
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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. |
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Authors:
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Juliana Roda; Gabriela Mimoso; Manuela Benedito; Dolores Faria Pereira |
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8150063 - The epidemiology of three serious cardiac defects. a joint study between five centres. 673553 - Isovalericacidemia: a case report. 8612333 - Investigation of neonatal brain cytochrome redox by nirs. |
Publication Detail:
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Type: Journal Article Date: 2012-01-18 |
Journal Detail:
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Title: BMJ case reports Volume: 2012 ISSN: 1757-790X ISO Abbreviation: BMJ Case Rep Publication Date: 2012 |
Date Detail:
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Created Date: 2012-06-05 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 101526291 Medline TA: BMJ Case Rep Country: England |
Other Details:
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Languages: eng Pagination: - Citation Subset: IM |
Affiliation:
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Neonatal Intensive Care Unit, Maternidade Bissaya Barreto-CHC, Coimbra, Portugal. |
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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