Haemolytic disease of the newborn; criteria of severity.
نویسندگان
چکیده
S 677 speculations as to the nature of the blood disorder, suggesting a congenital error of iron metabolism possibly involving faulty stromato-hemoglobin bindings, are advanced. CM. CONGENITAL HEMOLYTIC ICTERU5 IN THE NEGRO. R. R. McCormack and E. P. Simon. From the Department of Medicine, Cornell University Medical College and the S:cond (Cornell) M:dical Division, B:llevue Hospital, New York City. Am. J. M. Sc. 216.’ 539-544, 1948. Congenital hemolytic icterus in a 2.6 year old Negress is reported. This patient is a maternal aunt of the patient reported by Scherer and Cccii (J. Lab. & Clin. Med. 30.’ 2.44, 2945) and if the diagnosis is correct is about the fourth or fifth well authenticated case reported in a Negro. No evidence of racial admixture was obtained. The diagnosis of congenital hemolytic icterus was supported by the family history, spherocytosis, splenomegaly, and increased erythrocyte fragility in hypotonic saline. However, history of hemolytic episodes was singularly lacking, the anemia and reticulocytosis were minimal and although jaundice was present it was most likely due to the passage of a common duct stone. Following splenectomy and cholecystectomy the jaundice disappeared, the spherocytes diminished in numbers, the saline fragility curve shifted toward normal and the reticulocytosis, macrocytosis and anemia dis-
منابع مشابه
Examination of Liquor Amnii as a Method of Predicting Severity of Haemolytic Disease of Newborn.
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A case for comprehensive antenatal screening for blood group antibodies.
OBJECTIVES To determine the frequency of various blood group antibodies responsible for haemolytic disease of the new born (HDN). DESIGN A prospective study of all neonates and still born foetuses suspected to have haemolytic disease of the new born and their mothers. SUBJECTS Neonates suspected to have HDN as per study criteria along with their mothers and mothers of still born foetuses wi...
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متن کاملHaemolytic Disease of the Newborn*
Since the discovery of the Rh blood groups (Landsteiner and Weiner, 1940) many articles on the subject of haemolytic disease of the newborn have been written. Gilmour (1944) in this country and Potter (1944; 1946) in America have presented authoritative accounts of the pathology of haemolytic disease, but, as the former points out, this aspect of the condition has received far less attention th...
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عنوان ژورنال:
- British medical journal
دوره 1 4594 شماره
صفحات -
تاریخ انتشار 1949