Neonatal alloimmune thrombocytopenia: pathogenesis, diagnosis and management

被引:115
作者
Peterson, Julie A. [1 ]
McFarland, Janice G. [2 ]
Curtis, Brian R. [2 ]
Aster, Richard H. [1 ,3 ]
机构
[1] Med Coll Wisconsin, Blood Res Inst, BloodCtr Wisconsin, Milwaukee, WI 53226 USA
[2] Med Coll Wisconsin, Platelet & Neutrophil Immunol Lab, BloodCtr Wisconsin, Milwaukee, WI 53226 USA
[3] Med Coll Wisconsin, Dept Med, Milwaukee, WI 53226 USA
关键词
neonatal thrombocytopenia; platelet antigens; alloimmune thrombocytopenia; PLATELET-SPECIFIC ALLOANTIGEN; AMINO-ACID POLYMORPHISM; MEMBRANE GLYCOPROTEIN-IIIA; SINGLE-POINT MUTATION; RGD BINDING DOMAIN; HLA-B LOCUS; BETA(3) INTEGRIN; FETOMATERNAL ALLOIMMUNIZATION; ANTIGEN-EXPRESSION; FETAL;
D O I
10.1111/bjh.12235
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Neonatal alloimmune thrombocytopenia, (NAIT) is caused by maternal antibodies raised against alloantigens carried on fetal platelets. Although many cases are mild, NAIT is a significant cause of morbidity and mortality in newborns and is the most common cause of intracranial haemorrhage in full-term infants. In this report, we review the pathogenesis, clinical presentation, laboratory diagnosis and prenatal and post-natal management of NAIT and highlight areas of controversy that deserve the attention of clinical and laboratory investigators.
引用
收藏
页码:3 / 14
页数:12
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