Vnitr Lek 2010, 56(Suppl 1):78-80
Treatment of thrombocytopaenia in gravidity
- Hemato-onkologická klinika Lékařské fakulty UP a FN Olomouc, přednosta prof. MUDr. Karel Indrák, DrSc.
Immune thrombocytopaenia (ITP) is an acquired, immune disease characterized by a decrease in blood platelet count. The most frequent cause of thrombocyte deficiency in gravidity is benign gestational thrombocytopaenia, ITP is relatively rare. An optimal management of a pregnant patient with ITP involves good interdisciplinary collaboration between a haematologist, gynaecologist, anaesthesiologist and neonatologist. Depending on thrombocyte count, rigorous haematological follow-up is required. Pharmacological treatment is indicated in only a small proportion of patients and mainly involves administration of corticosteroids and immunoglonulines. After delivery, it is always necessary to assess the newborn for any manifestation of neonatal alloimmune thrombocytopaenia.
Keywords: immune thrombocytopaenia; gravidity; treatment
Received: April 16, 2010; Published: February 1, 2010 Show citation
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