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Acute myelogenous leukemia mimicking a hemolysis, elevated liver enzymes, and low platelets syndrome during pregnancy: case report and review of the literature.

Authors :
Aboujaoude R
Alvarez J
Alvarez M
Al Khan A
Source :
American journal of perinatology [Am J Perinatol] 2007 Jan; Vol. 24 (1), pp. 1-4. Date of Electronic Publication: 2006 Nov 08.
Publication Year :
2007

Abstract

Acute leukemia is a rare malignancy of pregnancy. When it develops, there are many complications to consider and management becomes exceedingly difficult. We report a case of acute myelogenous leukemia presenting as preeclampsia and fetal demise at 36 weeks of gestation. A 30-year-old multigravida presented with intrauterine fetal demise at 36 weeks' gestation, hypertension, and thrombocytopenia. The patient received platelet and packed red blood cell transfusion, with concurrent prophylactic magnesium sulfate and dexamethasone treatment. Following labor induction, the patient delivered a nonviable female fetus and suffered a stroke postpartum. Peripheral smear and flow cytometry revealed the patient had acute myeloid leukemia with prominent monocytic differentiation. The patient expired on postpartum day six. Acute leukemia during the pregnancy is associated with an unfavorable outcome.

Details

Language :
English
ISSN :
0735-1631
Volume :
24
Issue :
1
Database :
MEDLINE
Journal :
American journal of perinatology
Publication Type :
Academic Journal
Accession number :
17094046
Full Text :
https://doi.org/10.1055/s-2006-954955