Source:http://linkedlifedata.com/resource/pubmed/id/21136350
Switch to
Predicate | Object |
---|---|
rdf:type | |
lifeskim:mentions | |
pubmed:issue |
6
|
pubmed:dateCreated |
2011-5-25
|
pubmed:abstractText |
Neonatal alloimmune neutropenia (NAN) results from neutrophil destruction by transplacental maternal neutrophil-specific immunoglobulin G (IgG) antibodies directed against the antigen inherited from the father. Treatment is usually based on recombinant human granulocyte colony-stimulating factor (G-CSF) and prevention or treatment of infection. We report the case of neutropenia in a newborn discovered because of fetomaternal infection. The bone marrow biopsy showed normal cellularity. Granulocyte typing, granulocyte cross-matching, and serum assays showed anti-neutrophil antibodies specific for human neutrophil antigen-1c, an antigen rarely involved in this disease. This NAN was refractory to G-CSF but responded to intravenous immunoglobulin (IVIG). IVIG should be considered as a second-line treatment in NAN refractory to G-CSF. Clinical trials, however, are required to define the optimal management of NAN, a rare but probably underestimated life-threatening situation for newborns.
|
pubmed:language |
eng
|
pubmed:journal | |
pubmed:citationSubset |
IM
|
pubmed:chemical |
http://linkedlifedata.com/resource/pubmed/chemical/Granulocyte Colony-Stimulating...,
http://linkedlifedata.com/resource/pubmed/chemical/Immunoglobulins, Intravenous,
http://linkedlifedata.com/resource/pubmed/chemical/Isoantigens,
http://linkedlifedata.com/resource/pubmed/chemical/Recombinant Proteins,
http://linkedlifedata.com/resource/pubmed/chemical/neutrophil-specific antigen SH
|
pubmed:status |
MEDLINE
|
pubmed:month |
Jun
|
pubmed:issn |
1098-8785
|
pubmed:author | |
pubmed:copyrightInfo |
© Thieme Medical Publishers.
|
pubmed:issnType |
Electronic
|
pubmed:volume |
28
|
pubmed:owner |
NLM
|
pubmed:authorsComplete |
Y
|
pubmed:pagination |
461-6
|
pubmed:dateRevised |
2011-11-17
|
pubmed:meshHeading |
pubmed-meshheading:21136350-Adult,
pubmed-meshheading:21136350-Escherichia coli Infections,
pubmed-meshheading:21136350-Female,
pubmed-meshheading:21136350-Granulocyte Colony-Stimulating Factor,
pubmed-meshheading:21136350-Humans,
pubmed-meshheading:21136350-Immunoglobulins, Intravenous,
pubmed-meshheading:21136350-Infant, Newborn,
pubmed-meshheading:21136350-Isoantigens,
pubmed-meshheading:21136350-Male,
pubmed-meshheading:21136350-Neutropenia,
pubmed-meshheading:21136350-Neutrophils,
pubmed-meshheading:21136350-Recombinant Proteins
|
pubmed:year |
2011
|
pubmed:articleTitle |
Intravenous immunoglobulins for neonatal alloimmune neutropenia refractory to recombinant human granulocyte colony-stimulating factor.
|
pubmed:affiliation |
Centre Hospitalier Régional Universitaire de Montpellier, Hôpital Arnaud de Villeneuve, Service de Pédiatrie Néonatale, Montpellier, France.
|
pubmed:publicationType |
Journal Article,
Case Reports
|