Neonatal alloimmune thrombocytopenic purpura.

Published

Journal Article (Review)

We reviewed 58 literature reports of neonatal alloimmune thrombocytopenic purpura (NAITP). The mortality rate was 9%. The total incidence of suspected intracranial hemorrhage was 28%. We reviewed 17 sibship cases for the relation of birth order to treatment and outcome. Among firstborn affected infants (n = 17) the mortality rate and incidence of central nervous system sequelae were 24 and 47%, respectively, compared to rates of 5 and 15%, respectively, in their younger affected siblings (n = 20). The improved outcome in the latter group appeared to be related to more frequent cesarean section delivery and more frequent and earlier use of corticosteroids and maternal platelet transfusions in the neonate. Sensitive assays of maternal platelet alloantibody are now available, but they lack specificity for NAITP affecting the current gestation. There are two reports in which sensitive assays revealed rising titers of maternal platelet alloantibody during advancing gestation. We propose further study to determine if this is specific for the antepartum diagnosis of NAITP.

Full Text

Duke Authors

Cited Authors

  • Deaver, JE; Leppert, PC; Zaroulis, CG

Published Date

  • April 1986

Published In

Volume / Issue

  • 3 / 2

Start / End Page

  • 127 - 131

PubMed ID

  • 3516167

Pubmed Central ID

  • 3516167

International Standard Serial Number (ISSN)

  • 0735-1631

Digital Object Identifier (DOI)

  • 10.1055/s-2007-999848

Language

  • eng

Conference Location

  • United States