Document Detail


Multiple arterial thrombi and in utero leg gangrene in an infant of a diabetic mother.
MedLine Citation:
PMID:  12082483     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
This case report is of an infant of a diabetic mother who presented with lower extremity gangrene occurring in utero that necessitated a below the knee amputation at 3 hours of age. The association of venous thrombi in infants of diabetic mothers (IDMs) has been firmly established. However, in this case the thrombi were arterial and resulted in gangrene during the second trimester of gestation. The reason for the increased tendency to develop thrombi in infant of diabetic mothers has not been elucidated. We did an extensive workup of this infant to look for a cause of the arterial thrombus. The only abnormality found was in the plasminogen activity, which was significantly lower than the reference values for infants of the same gestational and chronological age. The significance of this finding on the propensity of IDMs to develop thrombi is discussed.
Authors:
Denise K Long; Diane E Lorant
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Journal of perinatology : official journal of the California Perinatal Association     Volume:  22     ISSN:  0743-8346     ISO Abbreviation:  J Perinatol     Publication Date:    2002 Jul-Aug
Date Detail:
Created Date:  2002-06-25     Completed Date:  2002-08-29     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8501884     Medline TA:  J Perinatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  424-7     Citation Subset:  IM    
Affiliation:
Department of Obstetrics and Gynecology, Indiana University, Indianapolis, IN 46202, USA.
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MeSH Terms
Descriptor/Qualifier:
Adult
Antibodies, Anticardiolipin / blood
Female
Fetal Diseases / etiology*
Gangrene
Humans
Infant, Newborn
Ischemia / blood,  etiology,  pathology
Leg / blood supply,  embryology*,  pathology
Plasminogen / analysis
Pregnancy
Pregnancy Trimester, Second
Pregnancy in Diabetics / complications*
Thrombosis / blood,  etiology*,  pathology
Chemical
Reg. No./Substance:
0/Antibodies, Anticardiolipin; 9001-91-6/Plasminogen

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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