Araştırma Makalesi

Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report.

Cilt: 36 Sayı: 1 30 Nisan 2022
  • Serkan Güven
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Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report.

Öz

Immune Thrombocytopenia (ITP) which is a common, acquired and autoimmune disease is defined as low platelet count secondary to increased platelet destruction or impaired thrombopoiesis by anti-thromboycte antibodies. Pregnancy-associated thrombocytopenia accounts for 5% of all the cases. Thrombopoietin (TPO) mimetic drugs, such as Eltrombopag, have been used successfully in many patients with ITP; however data on its use in pregnancy is limited. In this report, a case who was followed up with ITP and given Eltrombopag during her pregnancy, cause it could not have been controlled by any other treatment is presented. Enoxaparin therapy was iniatiated for thromboprophylaxis after the patient’s platelet count responded to Eltrombopag treatment. Delivery was carried out by cesarean section. Baby was born with low birth weight and there was not any malformation. Nevertheless, further research is needed to find out whether there is a relationship between Eltrombopag use in pregnancy and low birth weight.

Anahtar Kelimeler

Kaynakça

  1. 1. George JN, Woolf SH, Raskob GE. Idiopathic thrombocytopenic purpura: A guideline for diagnosis and management of children and adults. American Society of Hematology. Ann Med. 1998;30:38–44
  2. 2. Loustau V, Pourrat O, Mandelbrot L, Godeau B. Immune thrombocytopenia and pregnancy: state of knowledge and unanswered questions. Rev Med Interne 2015;36(3):167–72.
  3. 3. Sun D, Shehata N, Ye XY. Corticosteroids compared with intravenous immunoglobulin for the treatment of immune thrombocytopenia in pregnancy. Blood 2016;128(10):1329–35.
  4. 4. Gernsheimer T, James AH, Stasi R, How I treat thrombocytopeniain pregnancy. Blood. 2013;121(1):38-47.
  5. 5. González-López TJ, Fernández-Fuertes F, Hernández-Rivas JA, Sánchez-González B, Martínez-Robles V, Alvarez-Román MT, et al. Efficacy and safety of eltrombopag in persistent and newly diagnosed ITP in clinical practice. Int J Hematol. 2017;106:508–16.
  6. 6. Ferreira IJMCF, Sousa F, Vasco EM, Areia ALFA, Moura JPAS, CardJ, et al. J Gynecol Obstet Hum Reprod. 2018 Oct;47(8):405-408.
  7. 7. Suzuki N, Hiraga J, Hariyama Y, Takagi Y, Ohashi H, Kishigami Y, et al. Int J Hematol. 2018 Jul;108(1):109-111.
  8. 8. Purushothaman J, Puthumana KJ, Kumar A, Innah SJ, Gilvaz S. Asian J Transfus Sci. 2016 Jul-Dec;10(2):155-8.

Ayrıntılar

Birincil Dil

İngilizce

Konular

Klinik Tıp Bilimleri

Bölüm

Araştırma Makalesi

Yazarlar

Yayımlanma Tarihi

30 Nisan 2022

Gönderilme Tarihi

29 Haziran 2021

Kabul Tarihi

5 Ocak 2022

Yayımlandığı Sayı

Yıl 2022 Cilt: 36 Sayı: 1

Kaynak Göster

APA
Güven, S. (2022). Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, 36(1), 73-76. https://izlik.org/JA56WN35AU
AMA
1.Güven S. Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report. DEU Tıp Derg. 2022;36(1):73-76. https://izlik.org/JA56WN35AU
Chicago
Güven, Serkan. 2022. “Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report”. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 36 (1): 73-76. https://izlik.org/JA56WN35AU.
EndNote
Güven S (01 Nisan 2022) Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 36 1 73–76.
IEEE
[1]S. Güven, “Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report”., DEU Tıp Derg, c. 36, sy 1, ss. 73–76, Nis. 2022, [çevrimiçi]. Erişim adresi: https://izlik.org/JA56WN35AU
ISNAD
Güven, Serkan. “Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report”. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi 36/1 (01 Nisan 2022): 73-76. https://izlik.org/JA56WN35AU.
JAMA
1.Güven S. Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report. DEU Tıp Derg. 2022;36:73–76.
MLA
Güven, Serkan. “Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report”. Dokuz Eylül Üniversitesi Tıp Fakültesi Dergisi, c. 36, sy 1, Nisan 2022, ss. 73-76, https://izlik.org/JA56WN35AU.
Vancouver
1.Serkan Güven. Severe Immune Thrombocytopenia in Pregnancy Treated with Eltrombopag. A Case Report. DEU Tıp Derg [Internet]. 01 Nisan 2022;36(1):73-6. Erişim adresi: https://izlik.org/JA56WN35AU