caa a22 4500 378851136 CHVBK 20180305123323.0 cr unu---uuuuu 161128e20031120xx s 000 0 eng 10.1515/JPM.2003.082 doi (NATIONALLICENCE)gruyter-10.1515/JPM.2003.082 Pregnancy complicated with pure red cell aplasia: a case report [Elektronische Daten] [Y. Makino, M. Nagano, K. Tamura, T. Kawarabayashi] A 31-year-old Japanese pregnant woman had no remarkable previous medical and family histories except for artificial abortion in 1993. A full-term normal infant was subsequently delivered in 1998. In this pregnancy, she began to experience general fatigability with a hemoglobin concentration of 8.5 g/dl at 19 weeks of gestation. Although she had been treated with intravenous iron, the hemoglobin decreased to 6.0 g/dl. She was referred to our hospital at 34 weeks of gestation. The laboratory data were as follows on this admission; hemoglobin 5.1 g/dl, RBC 128 × 104/l, reticulocytes 1.1%, WBC 7.1 × 109/l, platelet count 229 × 109/l, folic acid 5.6 ng/ml, serum vitamin B12 200 pg/ml, ferritin 184 ng/ml, parvovirus B19 (−). A bone marrow aspiration revealed normal granulopoiesis and megakaryocytes, but almost complete absence of erythropoietic precursors. A diagnosis of pure red cell aplasia was made due to these findings. Treatment with prednisone (50 mg/day) and blood transfusion was started before delivery. She was delivered transvaginally at 37 weeks of gestation. The neonate was a normal female infant without anemia (hemoglobin 17.9 g/dl) and the 1 minute Apgar score was 8. Her hemoglobin level rose to 12.1 g/dl spontaneously two weeks after delivery. Copyright © 2003 by Walter de Gruyter GmbH & Co. KG Human reproduction, growth & development nationallicence Gynaecology & obstetrics nationallicence Paediatric medicine nationallicence Makino Y. aut Nagano M. aut Tamura K. aut Kawarabayashi T. aut Journal of Perinatal Medicine Walter de Gruyter 31/6(2003-11-20), 530-534 0300-5577 31:6<530 2003 31 jpme https://doi.org/10.1515/JPM.2003.082 text/html Onlinezugriff via DOI 1 research article jats NATIONALLICENCE 856 40 https://doi.org/10.1515/JPM.2003.082 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Makino Y. aut NATIONALLICENCE 700 1- Nagano M. aut NATIONALLICENCE 700 1- Tamura K. aut NATIONALLICENCE 700 1- Kawarabayashi T. aut NATIONALLICENCE 773 0- Journal of Perinatal Medicine Walter de Gruyter 31/6(2003-11-20), 530-534 0300-5577 31:6<530 2003 31 jpme CC0 http://creativecommons.org/publicdomain/zero/1.0 nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-gruyter