Treatment of thrombocytopaenia in gravidity

Česká verzia

Authors: A. Hluší; J. Procházková; V. Krčová; K. Indrák
Authors place of work: Hemato- onkologická klinika Lékařské fakulty UP a FN Olomouc, přednosta prof. MUDr. Karel Indrák, DrSc.
Published in the journal: Vnitř Lék 2010; 56(Supplementum 1): 78-80
Category: 16th Parizek's Days, Ostrava-Poruba, March 25th –26th 2010

Summary

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.

Key words:
immune thrombocytopaenia – gravidity – treatment

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