Neonatal alloimmune thrombocytopenia: pathogenesis, diagnosis and management

新生儿同种免疫性血小板减少症:发病机制、诊断和治疗

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作者:Julie A Peterson, Janice G McFarland, Brian R Curtis, Richard H Aster

Abstract

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.

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