Sharma Amit, Navalkele Pournima, Desai Jagdish, Agarwal Prashant
Department of Neonatal-Perinatal, Children's Hospital of Michigan, Neonatal-Perinatal Medicine, Detroit, MI, USA.
Department of Pediatrics, SSM Health Cardinal Glennon Children's Hospital, Hematology/Oncology, St. Louis, MO, USA.
Case Rep Obstet Gynecol. 2019 Mar 4;2019:3736870. doi: 10.1155/2019/3736870. eCollection 2019.
Anti-E alloimmunization is the third most common cause of neonatal hemolytic disease, typically causing mild to moderate hemolytic anemia. We report an unusual case of severe hydrops fetalis and persistent pulmonary hypertension (PPHN) in a neonate with anti-E alloimmunization. Our case emphasizes the importance of close surveillance for development of severe fetal hemolytic anemia and possible need for antenatal intervention. These neonates may also need vigilant monitoring for PPHN.
抗-E同种免疫是新生儿溶血病的第三大常见病因,通常会导致轻度至中度溶血性贫血。我们报告了一例抗-E同种免疫新生儿发生严重胎儿水肿和持续性肺动脉高压(PPHN)的罕见病例。我们的病例强调了密切监测严重胎儿溶血性贫血发展情况以及可能需要进行产前干预的重要性。这些新生儿还可能需要对PPHN进行密切监测。