Journal of Yeungnam Medical Science
- Volume 10 Issue 2
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- Pages.512-517
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- 1993
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- 2799-8010(eISSN)
A Case of Idiopathic Thrombocytopenic Purpura in Pregnancy
임신과 동반된 특발성 혈소판 감소성 자반증 1례
- Kim, Mi-Sook (Department of obstetrics and Gynecology College of Medicine, Yeungnam University) ;
- HwangBo, Ho-Joon (Department of obstetrics and Gynecology College of Medicine, Yeungnam University) ;
- Lee, Young-Gi (Department of obstetrics and Gynecology College of Medicine, Yeungnam University) ;
- Park, Yoon-Kee (Department of obstetrics and Gynecology College of Medicine, Yeungnam University) ;
- Lee, Sung-Ho (Department of obstetrics and Gynecology College of Medicine, Yeungnam University)
- 김미숙 (영남대학교 의과대학 산부인과학교실) ;
- 황보호준 (영남대학교 의과대학 산부인과학교실) ;
- 이영기 (영남대학교 의과대학 산부인과학교실) ;
- 박윤기 (영남대학교 의과대학 산부인과학교실) ;
- 이승호 (영남대학교 의과대학 산부인과학교실)
- Published : 1993.12.30
Abstract
Idiopathic thrombocytopenic purpura is an uncommon illness but most common form of thrombocytopenia in pregnancy. Corticosteroids, splenectomy, immunosuppressive drugs, and immunoglobulin therapy have been recommended for management. The optimal method of delivery is controversial. We have experienced a case of idiopathic thrombocytopenic purpura diagnosed previously and managed with corticosteroid and vincristine, which was followed by pregnancy, vaginal delivery and postpartum splenectomy.
임신전 만성 ITP로 진단되어 prednisolone 경구투여와 vincristine 정맥주사로 치료후에 추적관찰중 환자가 임신하였으나 조기진통으로 질식 둔위분만했으며 증세가 재발하여 prednisolone, 감마글로불린을 투여하였으나 호전이 없이 비장적출술을 시행한 임신과 동반된 특발성 혈소판 감소성 자반증 1례를 경험하였기에 문헌고찰과 함께 보고하는 바이다.
Keywords
- Idiopathic thrombocytopenic purpura;
- Thrombocytopenia;
- Corticosteroid;
- Splenectomy;
- Immunosuppressive drugs;
- Immunoglobulin;
- Vincristine