Document Detail


Nucleated red blood cells in preterm infants with retinopathy of prematurity.
MedLine Citation:
PMID:  16199672     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
OBJECTIVE: The aim of this retrospective study was to examine hematologic indices of potential intrauterine hypoxia, including circulating nucleated red blood cells, lymphocytes, and platelets in preterm infants who developed retinopathy of prematurity (ROP) compared with suitable controls. We hypothesized that higher neonatal absolute nucleated red blood cell (ANRBC) and lymphocyte counts and lower platelets would be found in infants who developed ROP, compared with control infants. METHODS: Each of 23 infants with ROP was pair matched for gestational age and Apgar scores with a control without ROP. Criteria for exclusion in both groups included factors that may influence the ANRBCs at birth. Venous ANRBC counts were obtained within 1 hour of life. Statistical analyses used paired t tests, a paired Wilcoxon test, and backward stepwise-regression analysis. RESULTS: Groups did not differ in birth weight, gestational age, Apgar scores, or hematocrit, white blood cell, or platelets counts. The ANRBC counts at birth were significantly higher in infants who developed ROP than in controls. CONCLUSIONS: Infants who develop ROP have higher ANRBC counts at birth than matched controls. We suggest that increased fetal erythropoiesis exists in preterm infants who later on will develop ROP. If correct, our interpretation supports the theory that long-lasting fetal hypoxia and/or ischemia may play a role in the pathogenesis of ROP.
Authors:
Ronit Lubetzky; Chaim Stolovitch; Shaul Dollberg; Francis B Mimouni; Mazal Salomon; Dror Mandel
Publication Detail:
Type:  Journal Article     Date:  2005-09-30
Journal Detail:
Title:  Pediatrics     Volume:  116     ISSN:  1098-4275     ISO Abbreviation:  Pediatrics     Publication Date:  2005 Nov 
Date Detail:
Created Date:  2005-11-02     Completed Date:  2005-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  0376422     Medline TA:  Pediatrics     Country:  United States    
Other Details:
Languages:  eng     Pagination:  e619-22     Citation Subset:  AIM; IM    
Affiliation:
Neonatology, Tel Aviv Sourasky Medical Center, Tel Aviv, Israel.
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MeSH Terms
Descriptor/Qualifier:
Erythroblasts*
Erythrocyte Count
Erythropoiesis
Fetal Hypoxia / diagnosis,  physiopathology
Humans
Infant, Newborn
Infant, Premature / blood
Leukocyte Count
Platelet Count
Retinopathy of Prematurity / blood*,  etiology,  physiopathology

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