Thrombotic Microangiopathies in Pregnancy

Oct 31, 2016 by in HEMATOLOGY Comments Off on Thrombotic Microangiopathies in Pregnancy

  Primary features Pathophysiology Complications Treatment DIC Abnormal coagulation (increased PT, APTT, reduced fibrinogen and platelets) Underlying precipitant, e.g. placental abruption, sepsis Excessive bleeding or thrombosis Treat the underlying cause…

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Thrombocytopenia in Pregnancy: Gestational Thrombocytopenia and Immune Thrombocytopenic Purpura

Oct 31, 2016 by in HEMATOLOGY Comments Off on Thrombocytopenia in Pregnancy: Gestational Thrombocytopenia and Immune Thrombocytopenic Purpura

Variable GT ITP Gestational age at diagnosis (weeks) 32.8 ± 7.6 20.1 ± 11.1 Gestational age when platelet count counts at nadir (weeks) 35.7 ± 5.5 27.0 ± 11.2 Platelet count at diagnosis (×109/L) 71.3 ± 19.2 40.0 ± 25.5 Platelet count…

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Inherited Bleeding Disorders in Pregnancy: Platelet Defects

Oct 31, 2016 by in HEMATOLOGY Comments Off on Inherited Bleeding Disorders in Pregnancy: Platelet Defects

Severe phenotype platelet function disorders Severe Glanzmann thrombasthenia Severe Bernard-Soulier syndrome Non-severe phenotype disorders Defects in platelet aggregation or adhesion Rare Glanzmann thrombasthenia variants (type II) Rare Bernard-Soulier syndrome variants…

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Pre-eclampsia: The Role of Hemostasis in Its Pathophysiology and Potential Future Therapeutic Options

Oct 31, 2016 by in HEMATOLOGY Comments Off on Pre-eclampsia: The Role of Hemostasis in Its Pathophysiology and Potential Future Therapeutic Options

History Previous pre-eclampsia Chronic hypertension Renal disease Type 1 or type 2 diabetes Multiple pregnancy Family history of pre-eclampsia Antiphospholipid syndrome Chronic autoimmune disease Increasing maternal age beyond 34 years…

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Systemic Thromboembolism in Pregnancy: Cerebrovascular Disease

Oct 31, 2016 by in HEMATOLOGY Comments Off on Systemic Thromboembolism in Pregnancy: Cerebrovascular Disease

Age Greater parity Smoking Cardiovascular disease including:  Hypertension  Patent foramen ovale  Metallic heart valve Renal disease Migraine with aura Heritable thrombophilia Acquired thrombophilia: antiphospholipid syndrome Hyperhomocystinemia Hematological disorders  Thrombotic microangiopathies…

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