Onesimo Roberta, Rizzo Daniela, Ruggiero Antonio, Valentini Piero
Department of Pediatric Sciences, Catholic University, Gemelli Hospital, Rome, Italy.
J Matern Fetal Neonatal Med. 2010 Sep;23(9):1059-61. doi: 10.3109/14767050903544751.
Anti-E alloimmunisation is a less common cause of haemolytic disease in the newborn (HDN) and is usually associated with mild to moderate clinical manifestations, that are often less severe than anti-D immunisation. Conventional treatments for HDN are phototherapy and exchange transfusion, the latter still representing a high-risk procedure. Currently, intravenous immunoglobulin has been used as alternative treatment for HDN to reduce the need for exchange transfusion, as well as the length of phototherapy and hospitalisation. We report a case of anti-E HDN treated successfully with intravenous immunoglobulin, as adjuvant treatment to phototherapy.
抗-E同种免疫是新生儿溶血病(HDN)较不常见的病因,通常与轻度至中度临床表现相关,其严重程度往往低于抗-D免疫。HDN的传统治疗方法是光疗和换血疗法,后者仍是一种高风险操作。目前,静脉注射免疫球蛋白已被用作HDN的替代治疗方法,以减少换血需求以及光疗时间和住院时间。我们报告一例通过静脉注射免疫球蛋白成功治疗的抗-E HDN病例,作为光疗的辅助治疗。