Korean J Hematol 1998; 33(2):
Published online June 30, 1998
© The Korean Society of Hematology
분만후 회복된 임신과 관련된 재생불량성 빈혈 1례
최인근, 김석진, 박인승, 오상철, 윤수영, 임채승, 김병수, 신상원, 김열홍, 이갑노, 김준석
고려대학교 의과대학 내과학교실,
고려대학교 의과대학 임상병리학교실
A Case of Aplastic Anemia Spontaneously Recovered after Delivery
A 26-year-old female was admitted for the evaluation of thrombocytopenia, who complained easy bruisy and multiple petechiae at 22 weeks of gestation. Bone marrow
examination was recommended, but refused. Steroid therapy was tried under the impression of idiopathic thrombocytopenic purpura. But pancytopenia developed at 37
weeks of gestation. Considering aplastic anemia associated with pregnanacy, Caesarian section with supplementation of platelet rich plasma and packed red blood cells was
done in order to terminate pregnancy. Bone marrow findings at 1 week after delivery were compatible with aplastic anemia. At 8 weeks after delivery, recovery of pancytopenia was noticed with normalization of bone marrow cellularity and maturation of hematopoietic cells.
Keywords Pregnancy; Aplastic anemia;
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Korean J Hematol 1998; 33(2): 251-255
Published online June 30, 1998
Copyright © The Korean Society of Hematology.
분만후 회복된 임신과 관련된 재생불량성 빈혈 1례
최인근, 김석진, 박인승, 오상철, 윤수영, 임채승, 김병수, 신상원, 김열홍, 이갑노, 김준석
고려대학교 의과대학 내과학교실,
고려대학교 의과대학 임상병리학교실
A Case of Aplastic Anemia Spontaneously Recovered after Delivery
In Keun Choi, Seok Jin Kim, In Seung Park, Sang Chul Oh, Sooyoung Yoon, Chae Seung Lim, Byung Soo Kim, Sang Won Shin, Yeul Hong Kim, Kap No Lee, Jun Suk Kim
Department of Internal Medicine, Clinical Pathology, Korea University, School of Medicine, Seoul, Korea
Abstract
A 26-year-old female was admitted for the evaluation of thrombocytopenia, who complained easy bruisy and multiple petechiae at 22 weeks of gestation. Bone marrow
examination was recommended, but refused. Steroid therapy was tried under the impression of idiopathic thrombocytopenic purpura. But pancytopenia developed at 37
weeks of gestation. Considering aplastic anemia associated with pregnanacy, Caesarian section with supplementation of platelet rich plasma and packed red blood cells was
done in order to terminate pregnancy. Bone marrow findings at 1 week after delivery were compatible with aplastic anemia. At 8 weeks after delivery, recovery of pancytopenia was noticed with normalization of bone marrow cellularity and maturation of hematopoietic cells.
Keywords: Pregnancy, Aplastic anemia,
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