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Failure of Intravenous Gammaglobulin for Passive Immune Thrombocytopenia in a Neonate
MARIA ASSUNTA PESARESI;
STEFANO MICELI SOPO, MD;
MARIA PASTORE, MD;
ACHILLE STABILE
Department of Pediatrics Catholic University Rome, Italy
Am J Dis Child. 1990;144(6):622.
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Sir.—Intravenous gammaglobulin (IVIG) therapy has been used with success in cases of neonatal thrombocytopenia caused by transplacentally transferred maternal autoantibodies1,2 and in neonatal isoimmune thrombocytopenia.3
Recently we reported a persistent increase in platelet count after 0.4 g/kg per day of intact polyethylene glycol–treated IVIG during the first 5 days of life in a neonate with immune thrombocytopenia, passively acquired from his mother.4
In another case, IVIG treatment was without benefit in a neonate with passive immune thrombocytopenia. In this case, the infant's mother had mild thrombocytopenia during the pregnancy (platelet count, 70 x 109/L). Her first child was noted to have thrombocytopenia at 2 months that spontaneously resolved after 2 months.
A male infant was born at term (gestational age, 39 weeks) by vaginal delivery to a woman with a normal pregnancy. His birth weight was 3740 g; Apgar scores were 9 at
. . . [Full Text PDF of this Article]
Footnotes
Reprint requests to Cl. Pediatrica, Universita Cattolica, L.go F. Vito, 1, 00168 Roma, Italy (Ms Pesaresi).
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