MICHAEL KORNSTEIN; J. ROBERT SMITH, M.D.; JAMES A. STOCKMAN III, M.D.
To the editor: In a recent case report, Kernoff and associates (1) described platelet-bound IgG in a thrombocytopenic neonate of a mother with active idiopathic (autoimmune) thrombocytopenic purpura. The following case report is pertinent to their observations and the management of this condition.
A 24-year-old white woman presented during the 7th month of her first pregnancy with epistaxis, hematuria, and petechiae but no history of systemic illness. She had taken hydrochlorothiazide for edema in the second trimester; no other drugs were taken. Her platelet count was 1500/mm3. Serologic tests for antinuclear antibody and for drug-induced thrombocytopenia were negative. Idiopathic thrombocytopenic
KORNSTEIN M, SMITH JR, STOCKMAN JA. Idiopathic Thrombocytopenic Purpura: Mother and Neonate. Ann Intern Med. ;92:128–129. doi: 10.7326/0003-4819-92-1-128
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Published: Ann Intern Med. 1980;92(1):128-129.
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