Ohno Yasumasa, Itakura Atsuo, Sano Michiyo, Mizutani Shigehiko
Department of Obstetrics and Gynecology, Nagoya University School of Medicine, Nagoya, Japan.
Gynecol Obstet Invest. 2002;53(2):112-3. doi: 10.1159/000053004.
Pure red cell aplasia during pregnancy is rare. We present a case in a 26-year-old pregnant woman, referred to our hospital at 31 weeks' gestation because of severe anemia caused by acute hepatitis. She was treated with repeated blood transfusions and the pure red cell aplasia gradually remitted during the pregnancy. A live infant was delivered by cesarean section at 34 weeks' gestation. Postpartum, the pure red cell aplasia and hemolytic anemia remitted completely. Our case illustrates that pure red cell aplasia may occur late in pregnancy associated with acute viral hepatitis and is reversible during pregnancy without any necessity for steroid therapy.
妊娠期纯红细胞再生障碍罕见。我们报告一例26岁孕妇，妊娠31周时因急性肝炎导致严重贫血转诊至我院。她接受了反复输血治疗，妊娠期纯红细胞再生障碍逐渐缓解。妊娠34周时剖宫产娩出一活婴。产后，纯红细胞再生障碍和溶血性贫血完全缓解。我们的病例表明，纯红细胞再生障碍可能在妊娠晚期与急性病毒性肝炎相关出现，且在妊娠期可逆转，无需类固醇治疗。
