Castleman James S, Kilby Mark D
West Midlands Fetal Medicine Centre, Birmingham Women's and Children's NHS Foundation Trust, Birmingham, UK.
Institute of Metabolism and Systems Research, University of Birmingham, Birmingham, UK.
Prenat Diagn. 2020 Aug;40(9):1099-1108. doi: 10.1002/pd.5674. Epub 2020 Mar 7.
Management of maternal red cell alloimmunization has been revolutionized over the last 60 years. Advances in the prevention, screening, diagnosis, and treatment of alloimmune-induced fetal anemia make this condition an exemplar for contemporary practice in fetal therapy. Since survival is now an expectation, attention has turned to optimization of long-term outcomes following an alloimmunized pregnancy. In this review, the current management of red cell alloimmunization is described. Current research and future directions are discussed with particular emphasis on later life outcomes after alloimmune fetal anemia.
在过去60年里,母体红细胞同种免疫的管理发生了革命性变化。同种免疫诱导的胎儿贫血在预防、筛查、诊断和治疗方面的进展,使这种情况成为当代胎儿治疗实践的典范。由于现在期望胎儿能够存活,人们的注意力已转向优化同种免疫妊娠后的长期结局。在这篇综述中,描述了红细胞同种免疫的当前管理方法。讨论了当前的研究和未来方向,特别强调了同种免疫胎儿贫血后的晚年结局。