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Hemolytic anemia caused by non-D minor blood incompatibilities in a newborn
- Source :
- The Pan African Medical Journal
- Publication Year :
- 2019
- Publisher :
- The African Field Epidemiology Network, 2019.
-
Abstract
- Hyperbilirubinemia is one of the most widely seen cause of neonatal morbidity. Besides ABO and Rh isoimmunization, minor blood incompatibilities have been also been identified as the other causes of severe newborn jaundice. We report a newborn with indirect hyperbilirubinemia caused by minor blood group incompatibilities (P1, M, N, s and Duffy) whose hemolysis was successfully managed with intravenous immunoglobulin therapy. A thirty-two gestational weeks of preterm male baby became severely icteric on postnatal day 11, with a total bilirubin level of 14.66 mg/dl. Antibody screening tests revealed incompatibility on different minor groups (P1, M, N, s and Duffy (Fya ve Fyb)). On postnatal day thirteen, the level of bilirubin increased to 20.66 mg/dl although baby was under intensive phototherapy. After the administration of intravenous immunoglobulin and red blood cell transfusion, hemoglobin and total bilirubin levels became stabilised. Minor blood incompatibilities should be kept in mind during differential diagnosis of hemolytic anemia of the newborn. They share the same treatment algorithm with the other types hemolytic anemia. New studies revealed that intravenous immunoglobulin treatment in hemolytic anemia have some attractive and glamorous results. It should be seriously taken into consideration for treatment of minor blood incompatibilities.
- Subjects :
- Hemolytic anemia
hyperbilirubinemia
Bilirubin
business.industry
030231 tropical medicine
Physiology
General Medicine
Haemolysis
medicine.disease
Hemolysis
03 medical and health sciences
chemistry.chemical_compound
0302 clinical medicine
Intravenous Immunoglobulin Therapy
chemistry
minor blood incompability
ABO blood group system
medicine
Case Series
030212 general & internal medicine
Hemoglobin
Rh Isoimmunization
business
Subjects
Details
- Language :
- English
- ISSN :
- 19378688
- Volume :
- 33
- Database :
- OpenAIRE
- Journal :
- The Pan African Medical Journal
- Accession number :
- edsair.doi.dedup.....e3d190d74de71426eeea53671581e857