101. Early treatment by plasmapheresis in a woman with multiple abortions and the rare blood group p.
- Author
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Shechter Y, Timor-Tritsch IE, Lewit N, Sela R, and Levene C
- Subjects
- Adult, Dydrogesterone therapeutic use, Female, Humans, Pregnancy, Pregnancy Complications, Pregnancy Trimester, First, Staphylococcal Infections complications, Time Factors, Abortion, Habitual therapy, Blood Group Antigens, P Blood-Group System, Plasmapheresis
- Abstract
Women with the rare blood group p are known to have an increased rate of abortions. The case of a 36-year-old woman is presented who had had 7 spontaneous abortions in the first trimester and no live child. When treated by plasma exchange begun early in pregnancy and continued until the 29th week, she delivered a normal child. Time to begin, amount and length of time necessary to continue plasma exchange in these patients are considered. In addition, the question of which fraction of the anti-PP1Pk could be responsible for abortion is discussed. To our knowledge, this is the first case of a woman of p phenotype with no live children but with multiple abortions treated by this method, which should be seriously considered in similar cases.
- Published
- 1987
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